Provider Demographics
NPI:1619980638
Name:ASRAT, TAMEROU (MD)
Entity Type:Individual
Prefix:
First Name:TAMEROU
Middle Name:
Last Name:ASRAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 MOJAVE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-2424
Mailing Address - Country:US
Mailing Address - Phone:949-515-7861
Mailing Address - Fax:949-515-7846
Practice Address - Street 1:361 HOSPITAL RD STE 224
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3523
Practice Address - Country:US
Practice Address - Phone:949-515-7861
Practice Address - Fax:949-515-7846
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG55588207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine