Samuel Hailemariam Fantaye, MD Valid NPI

Individual provider · Endocrinology, Diabetes & Metabolism Physician · Castro Valley, CA

NPI

1336677186

Type

Individual (Type 1)

Primary specialty

Endocrinology, Diabetes & Metabolism Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207RE0101X

License number

A169452 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2017-05-24

Last updated

2024-10-08