Provider Demographics
NPI:1790318996
Name:BELMEDANI-ANDERSON, FATIHA CELIA
Entity Type:Individual
Prefix:
First Name:FATIHA
Middle Name:CELIA
Last Name:BELMEDANI-ANDERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2014 3RD ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-1406
Mailing Address - Country:US
Mailing Address - Phone:303-478-7672
Mailing Address - Fax:
Practice Address - Street 1:2014 3RD ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-1406
Practice Address - Country:US
Practice Address - Phone:303-478-7672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-16
Last Update Date:2020-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5409962085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology