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Individual

DR. ASAL FATHIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
700 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(408) 851-1000
Mailing address
621 S NEW BALLAS RD STE 2007B, SAINT LOUIS, MO 63141-8265
(314) 991-5000
(314) 991-5035

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
29744
OK
207VM0101X
Maternal & Fetal Medicine Physician
Primary
A120098
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20050063A
OK
Enumeration date
05/12/2009
Last updated
07/01/2025
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