Carmen Fanous

NPI #1316469026 in California, Maryland

Provider Information

NPI Number: 1316469026
Entity Type: Individual
Name: Carmen Fanous
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Enumeration Date: Jul 13, 2017
Last Updated: Dec 1, 2021

Practice Location

Address: 22590 SHADY CT
City: California
State: Maryland
ZIP Code: 20619-5009
Phone: (301) 373-7900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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Organizations

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