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General NPI Number Information
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NPI Number | 1447665831
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Entity Type | Individual
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Provider Name | ARYANDOKHT FOTROS M.D., M.SC
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Gender | Female
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Dates
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Enumeration Date | 06/25/2014
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 1100 S AKERS ST
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City | VISALIA
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State | CA
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Zip | 93277-8311
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Country | US
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Telephone | 559-509-0846
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Fax |
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Provider Business Mailing Address
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Address Line | 4216 S MOONEY BLVD PMB 309
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City | VISALIA
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State | CA
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Zip | 93277
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD16622
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A144359
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License Number State | CA
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