Fantaye, Samuel Hailemariam

Fantaye, Samuel Hailemariam is an individual health care provider with primary practice located at 20642 John Dr , Castro Valley CA 94546-5103. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Fantaye, Samuel Hailemariam can be contacted via phone (510) 857-2559.

Contact Information

Primary practice address
20642 John Dr Castro Valley CA 94546-5103
Phone: (510) 857-2559
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obesity Medicine 207QB0002X A169452 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A169452 California
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X A169452 California

Profile Details

NPI number 1336677186
LBN Legal business name Fantaye, Samuel Hailemariam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2017
Last updated Oct 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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