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MITRA M FATOURECHI-ALSHARIF M.D. NPI 1962616607


NPI Information

NPI: 1962616607
Provider Name: MITRA M FATOURECHI-ALSHARIF, M.D.
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

Address:
1110 W LA PALMA AVE
SUITE #2
ANAHEIM, CA
ZIP 92801
Phone: (714) 635-7246
Get Directions

Mitra M Fatourechi-alsharif, M.D. is an endocrinology and diabetes and metabolism internal medicine in Anaheim, CA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. Mitra M Fatourechi-alsharif, M.D. NPI is 1962616607. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1110 W LA PALMA AVE
SUITE #2
ANAHEIM, CA
ZIP 92801-821
Phone: (714) 635-7246

The enumeration date for this NPI number is 5/10/2007 and was last updated on 11/19/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineA108327CALIFORNIANo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismA108327CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1332437200MEDICAIDMINNESOTA
2110011476MEDICARE PINMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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