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FADI ALHATEM M.D.

Pain Medicine >> Pain Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1467672485

Individual Registrant:
 FADI  ALHATEM M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
250 N ROBERTSON BLVD STE 505  BEVERLY HILLS, CA 90211 US
Tel: 310-385-3530  Fax: 310-385-3322

Contact information for business:
PO BOX 54679  LOS ANGELES, CA 90054-0679 US
Tel: --  Fax: --

Registration Information:
NPI: 1467672485
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N208VP0000XAllopathic & Osteopathic Physicians
Pain Medicine
Pain Medicine
MDD77403
N208VP0014XAllopathic & Osteopathic Physicians
Pain Medicine
MDD77403
Y2084P2900XAllopathic & Osteopathic Physicians
Psychiatry & Neurology
CAC159408

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1467672485MI05
1467672485WI05
BCBS0210089MI01
ANTHEM1467672485WI01




HEALTH CARE JOBS CA - Page 1



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