Individual
ALI FAYED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2335 E KASHIAN LN, FRESNO, CA 93701-2230
(559) 445-1251
Mailing address
PO BOX 28900, FRESNO, CA 93729
(559) 228-4205
(559) 224-3920
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A546454
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A564540
—
CA
Enumeration date
09/09/2005
Last updated
01/04/2012
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