Provider Demographics
NPI:1821451378
Name:CONTEH, FATU SWARAY (MD)
Entity Type:Individual
Prefix:MS
First Name:FATU
Middle Name:SWARAY
Last Name:CONTEH
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 1:13303 MERIDIAN HEIGHTS CT
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-3577
Mailing Address - Country:US
Mailing Address - Phone:713-518-3468
Mailing Address - Fax:505-272-6091
Practice Address - Street 1:13303 MERIDIAN HEIGHTS CT
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-3577
Practice Address - Country:US
Practice Address - Phone:713-518-3468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-01
Last Update Date:2023-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM390200000X
390200000X
CA187872208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program