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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMUEL HAILEMARIAM FANTAYE, MD

Active

SAMUEL HAILEMARIAM FANTAYE, MD is a Endocrinology, Diabetes & Metabolism healthcare provider located in CASTRO VALLEY, California. NPI 1336677186 is currently active in the NPPES registry. Verify at CMS.

Endocrinology, Diabetes & Metabolism · CASTRO VALLEY, CA

Registration Details

NPI Number
1336677186
Provider Type
Individual
Gender
Male
NPI Issued
May 24, 2017 (9.2421848354137 yrs)
Last Updated
Oct 8, 2024
Licenses
A169452 (CA)
A169452 (CA)
A169452 (CA)

Practice Information

Address
20642 JOHN DR
CASTRO VALLEY, CA, 945465103
Browse CA providers · Browse ZIP 94546
Phone
5108572559
Primary Specialty
Endocrinology, Diabetes & Metabolism
207RE0101X
Additional Specialty
Internal Medicine

Other Endocrinology, Diabetes & Metabolism Providers in CASTRO VALLEY, CA

Name Credential NPI
STANLEY ANDREW TAN MD 1396747721
MARCIA C PECK MD 1376569475
AMER A. BUDAYR MD 1700958451
DR. NALURPORN CHOKRUNGVARANON M.D. 1922209436
FARNOOSH FARROKHI 1467618454
JENNIFER CASEY 1750524575
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.