Fatourechi-Alsharif, Mitra M
Fatourechi-Alsharif, Mitra M is an individual health care provider with primary practice located at 1110 W La Palma Ave Suite #2, Anaheim CA 92801-2821. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Fatourechi-Alsharif, Mitra M can be contacted via phone (714) 635-7246.Contact Information
Primary practice address
1110 W La Palma Ave Suite #2
Anaheim CA 92801-2821
Phone: (714) 635-7246
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A108327 | California |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | A108327 | California |
Profile Details
| NPI number | 1962616607 |
|---|---|
| LBN Legal business name | Fatourechi-Alsharif, Mitra M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2007 |
| Last updated | Nov 19th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962616607 | NPPES |
| Minnesota | MEDICAID | 332437200 |
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