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NPI Verification

National Provider Identifier: 1245416601

Tajammul N Fazili, MD

Individual Provider

Credentials

MD

Primary Specialty

Urology

Code: 208800000X

Practice Address

510 E STONER AVE

SHREVEPORT, LA 711014243

Phone: 318-221-8411

NPI Enumeration Date

January 16, 2008

NPI Number

1245416601

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Tajammul Fazili, MD - NPI 1245416601 | Provider Verification | HormoneMap