| Fawad Haroon, MD | |
| 
					621 S New Ballas Rd Ste 3019b, Saint Louis, MO 63141-8267  | |
| (314) 509-5305 | |
| Not Available | 
| Full Name | Fawad Haroon | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 621 S New Ballas Rd Ste 3019b, Saint Louis, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1659989119 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 2020013978 (Missouri) | Primary | 
| Entity Name | Tidalhealth Specialty Care Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1619504735 PECOS PAC ID: 7113340845 Enrollment ID: O20200714000286  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Fawad Haroon, MD 621 S New Ballas Rd Ste 3019b, Saint Louis, MO 63141-8267 Ph: () -  | Fawad Haroon, MD 621 S New Ballas Rd Ste 3019b, Saint Louis, MO 63141-8267 Ph: (314) 509-5305  | 
Conor Mccartney, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100  | |
Dr. Faris Adam Bakeer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878  | |
Dr. Rehan Rais, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878  | |
Nathan Farkas, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-1930  | |
Dr. Randy Olivier Laine, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878  | |
Dr. Erin Leigh Dyer, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4901 Forest Park Ave, Div Im General Med, Ste 241, Saint Louis, MO 63108 Phone: 314-362-5060 Fax: 314-362-6959  | |
Nakul Shah,  Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-5000  |