Individual
DR. KAREN ALI FATEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1000 EAST MOUNTAIN BLVD., WILKES-BARRE, PA 18711-3539
(570) 808-7399
(570) 808-5647
Mailing address
100 NORTH ACADEMY AVE., DANVILLE, NY 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS016834
PA
208M00000X
Hospitalist Physician
Primary
OS016834
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
354060
MEDICARE
PA
Enumeration date
06/30/2010
Last updated
08/31/2020
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