DR. SEYYED HOSSEIN FATEMI, M.D., PHD - NPI NUMBER 1477582765

Summary

Provider Name: DR. SEYYED HOSSEIN FATEMI, M.D., PHD

NPI Number: 1477582765

Clasification: Psychiatry & Neurology (2084P2900X)

Specialization: Pain Medicine

Address:
UNIVERSITY OF MINNESOTA PHYSICIANS
2312 SOUTH 6TH STREET, SUITE F256 / 2B WEST
MINNEAPOLIS, MN
ZIP 55454

Phone Number: (612) 273-8700



Detailed Information

DR. Seyyed Hossein Fatemi, M.D., PHD is a pain medicine psychiatrist in Minneapolis, MN. The provider is a neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. The assigned NPI number for this provider is 1477582765 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

UNIVERSITY OF MINNESOTA PHYSICIANS
2312 SOUTH 6TH STREET, SUITE F256 / 2B WEST
MINNEAPOLIS, MN
ZIP 55454
Phone: (612) 273-8700

The enumeration date for this NPI number is 7/1/2006 and was last updated on 6/5/2012.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 2084P2900X Psychiatry & Neurology Pain Medicine 39034 MN No
2 2084P0800X Psychiatry & Neurology Psychiatry 39034 MN Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 15-41774 OTHER MN UBH
2 HP22337 OTHER MN HEALTHPARTNERS
3 0999508 MEDICAID IA
4 1012200 OTHER MN PREFERRED ONE
5 768106 OTHER MN ARAZ
6 124723900 MEDICAID MN
7 34Y45FA OTHER MN BCBS
8 32252200 MEDICAID WI
9 F83389 MEDICARE UPIN MN
10 260001378 MEDICARE ID-TYPE UNSPECIFIED MN MEDICARE
11 15-83243 OTHER MN MEDICA

NPI Record

No. Field Name Field Value
1 NPI 1477582765
2 Entity Type Code 1
3 Provider Last Name Legal Name FATEMI
4 Provider First Name SEYYED
5 Provider Middle Name HOSSEIN
6 Provider Name Prefix Text DR.
7 Provider Credential Text M.D., PHD
8 Provider First Line Business Practice Location Address UNIVERSITY OF MINNESOTA PHYSICIANS
9 Provider Second Line Business Practice Location Address 2312 SOUTH 6TH STREET, SUITE F256 / 2B WEST
10 Provider Business Practice Location Address City Name MINNEAPOLIS
11 Provider Business Practice Location Address State Name MN
12 Provider Business Practice Location Address Postal Code 55454
13 Provider Business Practice Location Address Country Code If outside U S US
14 Provider Business Practice Location Address Telephone Number 6122738700
15 Provider Enumeration Date 7/1/2006
16 Last Update Date 6/5/2012
17 Provider Gender Code M
18 Healthcare Provider Taxonomy Code 1 2084P2900X
19 Provider License Number 1 39034
20 Provider License Number State Code 1 MN
21 Healthcare Provider Primary Taxonomy Switch 1 N
22 Healthcare Provider Taxonomy Code 2 2084P0800X
23 Provider License Number 2 39034
24 Provider License Number State Code 2 MN
25 Healthcare Provider Primary Taxonomy Switch 2 Y
26 Other Provider Identifier 1 15-41774
27 Other Provider Identifier Type Code 1 01
28 Other Provider Identifier State 1 MN
29 Other Provider Identifier Issuer 1 UBH
30 Other Provider Identifier 2 HP22337
31 Other Provider Identifier Type Code 2 01
32 Other Provider Identifier State 2 MN
33 Other Provider Identifier Issuer 2 HEALTHPARTNERS
34 Other Provider Identifier 3 0999508
35 Other Provider Identifier Type Code 3 05
36 Other Provider Identifier State 3 IA
37 Other Provider Identifier 4 1012200
38 Other Provider Identifier Type Code 4 01
39 Other Provider Identifier State 4 MN
40 Other Provider Identifier Issuer 4 PREFERRED ONE
41 Other Provider Identifier 5 768106
42 Other Provider Identifier Type Code 5 01
43 Other Provider Identifier State 5 MN
44 Other Provider Identifier Issuer 5 ARAZ
45 Other Provider Identifier 6 124723900
46 Other Provider Identifier Type Code 6 05
47 Other Provider Identifier State 6 MN
48 Other Provider Identifier 7 34Y45FA
49 Other Provider Identifier Type Code 7 01
50 Other Provider Identifier State 7 MN
51 Other Provider Identifier Issuer 7 BCBS
52 Other Provider Identifier 8 32252200
53 Other Provider Identifier Type Code 8 05
54 Other Provider Identifier State 8 WI
55 Other Provider Identifier 9 F83389
56 Other Provider Identifier Type Code 9 02
57 Other Provider Identifier State 9 MN
58 Other Provider Identifier 10 260001378
59 Other Provider Identifier Type Code 10 04
60 Other Provider Identifier State 10 MN
61 Other Provider Identifier Issuer 10 MEDICARE
62 Other Provider Identifier 11 15-83243
63 Other Provider Identifier Type Code 11 01
64 Other Provider Identifier State 11 MN
65 Other Provider Identifier Issuer 11 MEDICA
66 Is Sole Proprietor N

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.