Mitra Fazel

Pharmacist · Fair Oaks, CA

Individual Active NPI

NPI number 1740756915

Practice location

4842 Sunset Ter Apt D
Fair Oaks, CA 95628-5066
Phone
(510) 366-9576

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NPI record

NPI
1740756915
Entity type
Individual (Type 1)
Enumeration date
October 16, 2018
Last updated
October 16, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 79695 CA

Other practice locations (1)

  • 4842 Sunset Ter Apt D, Fair Oaks, CA 95628-5066 · (510) 366-9576

About Mitra Fazel

Mitra Fazel is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 4842 Sunset Ter Apt D, Fair Oaks, CA 95628-5066. The NPI number 1740756915 was assigned on October 16, 2018 and the record was last updated on October 16, 2018.

Mitra Fazel lists a license in the registry: #79695 (CA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mitra Fazel?

The NPI number is 1740756915.

What is the phone number of Mitra Fazel?

The phone number listed for the practice location is (510) 366-9576.

Where is Mitra Fazel located?

4842 Sunset Ter Apt D, Fair Oaks, CA 95628-5066.

What is the taxonomy code for Mitra Fazel?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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