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NPI Code Detail

MEDICARE: MEHRAB FATHI MD

MEDICARE: MEHRAB FATHI MD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1871424515
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEHRAB FATHI MD
Provider Business Mailing Address
First Line : 911 W 38TH ST STE 201
Second Line :
City : AUSTIN
State : TX
Zip : 78705-1107
Country : US
Telephone Number : 737-402-5151
Fax Number :
Provider Business Practice Location Address
First Line : 911 W 38TH ST STE 201
Second Line :
City : AUSTIN
State : TX
Zip : 78705-1107
Country : US
Telephone Number : 737-402-5151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2026
Last Update Date : 05/28/2026

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Directions to “ MEHRAB FATHI MD” Practice Location

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