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Provider Information for 1932321130



DR. KAMRAN FATTAH DMD

Gender: MALE

Individual NPI: 1932321130

Calendar Last Updated: 2017-12-08

Details

Name Value
NPI 1932321130
Enumeration Date 2007-05-03
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 8055 N VIA DE NEGOCIO
SCOTTSDALE, AZ 85258-4313
United States

Phone: 480-607-6937 | Fax: 480-607-6973
View Map External Link
Primary Practice Address 8055 N VIA DE NEGOCIO
SCOTTSDALE, AZ 85258-4313
United States

Phone: 480-607-6937 | Fax: 480-607-6973
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice AZ D009597
No 1223G0001X - Dentist General Practice OR D8308