Doctor Name: | FATANEH AMIDI |
NPI Number: | 1134357981 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MT191921 |
Business Practice Address: | 9333 Imperial Hwy Downey, CA - 902422812 |
Business Phone Number: | 5626574043 |
Business Fax Number: | |
Mailing Address: | 1045 Atlantic Ave, Suite 508 LONG BEACH |
State: | CA |
Postal Code: | 908133408 |
Phone Number: | 5624371882 |
Fax Number: | 5624375417 |
NPI Enumeration Date: | 06/30/2009 |
NPI Last Update Date: | 05/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | MT191921 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |