Doctor Name: | JANA L FAHMY |
NPI Number: | 1003989179 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 00038576 |
Business Practice Address: | 1304 Fawcett Ave Suite 100 Tacoma, WA - 984021911 |
Business Phone Number: | 2537614200 |
Business Fax Number: | 2533833553 |
Mailing Address: | Po Box 1535, TACOMA |
State: | WA |
Postal Code: | 984011535 |
Phone Number: | 2537614200 |
Fax Number: | 2533833553 |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 05/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085U0001X |
License Number: | 00038576 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Ultrasound |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |