Organization
PARVEZ FATTEH, MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARVEZ MEHBOOB FATTEH M.D. (PRESIDENT)
(510) 742-5795
Entity
Organization
Contact information
Practice address
2287 MOWRY AVE, STE. H, FREMONT, CA 94538-1622
(510) 742-5795
(510) 742-5799
Mailing address
5820 STONERIDGE MALL RD, #203, PLEASANTON, CA 94588-3274
(510) 742-5795
(510) 742-5799
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
A66560
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A66560
MEDICAL LICENSE
CA
Enumeration date
09/14/2012
Last updated
09/14/2012
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