Fatima, Fazilath

Fatima, Fazilath is an individual health care provider with primary practice located at 17360 Brookhurst St , Fountain Valley CA 92708-3720. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Fatima, Fazilath can be contacted via phone (657) 241-3592.

Contact Information

Primary practice address
17360 Brookhurst St Fountain Valley CA 92708-3720
Phone: (657) 241-3592
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301079615 Michigan
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 4301079615 Michigan
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35.097068 Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X C133691 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C133691 California

Profile Details

NPI number 1962429571
LBN Legal business name Fatima, Fazilath
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Aug 9th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962429571 NPPES
Michigan MEDICAID 5178262-10
Michigan Other 1962429571
Michigan Other 70-0-F32947-0

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