Fazili, Tasaduq N

Fazili, Tasaduq N is an individual health care provider with primary practice located at 2001 Crystal Spring Ave Sw Ste 301 , Roanoke VA 24014-2465. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Fazili, Tasaduq N can be contacted via phone (540) 981-7715.

Contact Information

Primary practice address
2001 Crystal Spring Ave Sw Ste 301 Roanoke VA 24014-2465
Phone: (540) 981-7715
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 261497 New York
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 0101267456 Virginia

Profile Details

NPI number 1548215171
LBN Legal business name Fazili, Tasaduq N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated May 19th, 2022 - about 3 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548215171 NPPES
New York MEDICAID 03361800
New York Other P01227409

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