Provider Demographics
NPI:1508137720
Name:FAHMY, ROSALIND (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSALIND
Middle Name:
Last Name:FAHMY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77259 OLYMPIC WAY
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-0764
Mailing Address - Country:US
Mailing Address - Phone:714-728-8898
Mailing Address - Fax:760-834-8389
Practice Address - Street 1:77259 OLYMPIC WAY
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-0764
Practice Address - Country:US
Practice Address - Phone:714-728-8898
Practice Address - Fax:760-834-8389
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA40123207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine