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General NPI Number Information
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NPI Number | 1922155274
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Entity Type | Organization
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Legal Business Name | FAYEZ ROMMAN, MD INC
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 8001 BRUCEVILLE RD
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City | SACRAMENTO
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State | CA
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Zip | 95823-2329
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Country | US
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Telephone | 916-288-0300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 581231
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City | ELK GROVE
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State | CA
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Zip | 95758-0021
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Country | US
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Telephone | 916-974-7782
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FAYEZ ROMMAN
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Credential | M.D.
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Telephone | 916-548-1350
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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 | A79983
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License Number State | CA
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