Individual
HADI FATTAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
28150 KELLER RD, MURRIETA, CA 92563-2432
(951) 251-6000
Mailing address
28150 KELLER RD, MURRIETA, CA 92563-2432
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D78012
MD
207RN0300X
Nephrology Physician
Primary
A141450
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2011
Last updated
11/29/2021
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