Provider Demographics
NPI:1669900635
Name:FATHY, CHERIE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:CHERIE
Middle Name:
Last Name:FATHY
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WISCONSIN CIR STE 230
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-7005
Mailing Address - Country:US
Mailing Address - Phone:301-215-7100
Mailing Address - Fax:
Practice Address - Street 1:2 WISCONSIN CIR STE 230
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-7005
Practice Address - Country:US
Practice Address - Phone:301-215-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-02
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA271594207R00000X
DCMD210002450207W00000X
VA101276013207W00000X
MDD91522207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine