Dr. Amanah Sana Fatima, DO
Student in an Organized Health Care Education/Training Program in Detroit, MI. Individual provider (NPI-1).
NPI number1174265755
StatusActive
Last updated in NPPESApr 12, 2022
Details
- NPI
- 1174265755
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amanah Sana Fatima
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 12, 2022
- Certification date
- Apr 12, 2022
- Last updated
- Apr 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
4201 Saint Antoine St Ste 6aDetroit, MI 48201-2153
Phone 313-745-4627
Mailing address
4201 Saint Antoine St Ste 6aDetroit, MI 48201-2153
Phone 313-745-4627
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