Amir H. Fatemi, M.D., Ip.L

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0034353 Issued in FL

Legal business name

AMIR H. FATEMI, M.D., IP.L

Doing business as

Amir H. Fatemi, M.D.

Practice address

6934 Saint Augustine Rd
Jacksonville, FL 32217-2820

Phone

(904) 737-3939

Fax

(904) 737-9263

NPI assigned

Nov 9, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Amir H Fatemi, M.D.

Title

Owner

Phone

(904) 737-9393

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Amir H. Fatemi, M.D. Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1669759395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6934 SAINT AUGUSTINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172820",
            "telephone_number": "904-737-3939",
            "fax_number": "904-737-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6934 SAINT AUGUSTINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172820",
            "telephone_number": "904-737-3939",
            "fax_number": "904-737-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIR H. FATEMI, M.D., IP.L",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "FATEMI",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-737-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0034353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0380130-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1104805969",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amir H. Fatemi, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nadim Mohammed Amin
• Shreya Amin, APRN
• Nader Amini, MD
• Nikolas Parham Amini, DDS
• Sahar Aminmadani, RBT
• Amir H. Fatemi, M.D., LLC
• Amir Wind MD PA
• Amirah Healthcare LLC
• Amit Chokshi MD PA
• Amit Chokshi MD PA

• Specialist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.