Individual
DR. FAREED RAMZI ASFOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5176 HILL RD E, LAKEPORT, CA 95453-6357
(628) 600-3589
Mailing address
1141 CATALINA DR # 194, LIVERMORE, CA 94550-5928
(775) 364-0900
(925) 226-4007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A71648
CA
207RI0200X
Infectious Disease Physician
Primary
A71648
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A716480
—
CA
01
—
A71648
STATE LICENSE
CA
Enumeration date
10/02/2006
Last updated
03/07/2023
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