Fadheel, Faris
Fadheel, Faris is an individual health care provider with primary practice located at 1312 Professional Blvd Ste 201 , Evansville IN 47714-8019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Fadheel, Faris can be contacted via phone (812) 476-7523.Contact Information
Primary practice address
1312 Professional Blvd Ste 201
Evansville IN 47714-8019
Phone: (812) 476-7523
Fax: (812) 476-6686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036101230 | Illinois |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 4301065910 | Michigan |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 01052686A | Indiana |
Profile Details
| NPI number | 1205836608 |
|---|---|
| LBN Legal business name | Fadheel, Faris |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | May 14th, 2024 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205836608 | NPPES |
| Indiana | MEDICAID | 200271080A |
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