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 |
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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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