| T Fazili MD PC | |
|
901 N Porter Ave Norman OK 73071-6404 | |
| (405) 307-1000 | |
| Not Available |
| Full Name | T Fazili MD PC |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 901 N Porter Ave, Norman, Oklahoma |
| Authorized Official Name and Position | Tasaduq Fazili (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4053071000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T Fazili MD PC Po Box 115 Norman OK 73070-0115 Ph: (405) 307-1000 | T Fazili MD PC 901 N Porter Ave Norman OK 73071-6404 Ph: (405) 307-1000 |
| NPI Number | 1326292939 |
|---|---|
| Provider Enumeration Date | 11/10/2008 |
| Last Update Date | 03/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326292939 | NPI | - | NPPES |
| 200221440A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 26464 (Oklahoma) | Primary |
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