Mubasher Fazal is a Sleep Medicine in Erie, Pennsylvania. Mubasher Fazal practices all healthcare services and medical treatments related to Sleep Medicine. The NPI Number for Mubasher Fazal is 1740275551. The last update date is 2022-06-17.
Mubasher Fazal's current location address is 2500 W 12th St Ste C, Erie, Pennsylvania. You can contact this provider via phone number 8148778730 and fax number 8148778731. The mailing address for Mubasher Fazal is 2500 W 12th St Ste C, Erie, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mubasher Fazal |
|---|---|
| Address | 2500 W 12th St Ste C, Erie, Pennsylvania |
| Phone Number | 8148778730 |
| Fax Number | 8148778731 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1740275551 |
|---|---|
| Provider Enumeration Date | 2005-09-19 |
| Last Updated Date | 2022-06-17 |
Provider Mailing Address Detail
| Address | 2500 W 12th St Ste C |
|---|---|
| City | Erie |
| State | Pennsylvania (PA) |
| Post Code | 165054500 |
| Phone Number | 8148778730 |
| Fax Number | 8148778731 |
Provider's Primary Taxonomy Detail
| Speciality | Sleep Medicine |
|---|---|
| Taxonomy | 207Qs1201X |
| Licence No | MD067859L |
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Definition: A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1740275551 | VA | -- | |
| 196357 | VA | MEDICARE DC/FAIRFAX | |
| A175 | VA | MEDICARE VA OTHER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mubasher Fazal?
The Mubasher Fazal has been issued the NPI (National Provider Identifier) 1740275551 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Mubasher Fazal is geographically located?
The Mubasher Fazal is physically situated at the following location: 2500 W 12Th St Ste C, Erie, PA, 165054500.
What is the Mubasher Fazal's area of specialization and corresponding taxonomy classification?
The Mubasher Fazal's specialty field is Sleep Medicine, and it falls under the taxonomy code 207Qs1201X, which categorizes healthcare providers based on their specialties.
On what date did the Mubasher Fazal receive its 1740275551 assignment from the Centers for Medicare & Medicaid Services?
The Mubasher Fazal was assigned its 1740275551 by the Centers for Medicare & Medicaid Services on 2005-09-19.
When was the information related to Mubasher Fazal most recently updated or refreshed?
The details pertaining to the Mubasher Fazal, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-06-17.