MEDICARE: TAMEROU ASRAT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VM0101X	Maternal & Fetal Medicine Physician	G55588	CA

General Provider Information

NPI Number	:	1619980638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMEROU ASRAT M.D.

Provider Business Mailing Address
First Line	:	43 MOJAVE
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92602-2424
Country	:	US
Telephone Number	:	949-515-7861
Fax Number	:	949-515-7846

Provider Business Practice Location Address
First Line	:	361 HOSPITAL RD STE 224
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-3523
Country	:	US
Telephone Number	:	949-515-7861
Fax Number	:	949-515-7846

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	12/15/2021

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