Omotayo Olusola Fasan in Charlotte - Internal Medicine
Omotayo Olusola Fasan - NPI 1386804409
Omotayo Olusola Fasan is a Internal Medicine in Charlotte, North Carolina. Omotayo Olusola Fasan practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Omotayo Olusola Fasan is 1386804409. The last update date is 2020-11-18.
Omotayo Olusola Fasan's current location address is 125 Queens Rd Ste 600, Charlotte, North Carolina. You can contact this provider via phone number 9803026600 and fax number 9803026605. The mailing address for Omotayo Olusola Fasan is 125 Queens Rd Ste 600, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Omotayo Olusola Fasan |
|---|---|
| Address | 125 Queens Rd Ste 600, Charlotte, North Carolina |
| Phone Number | 9803026600 |
| Fax Number | 9803026605 |
| Sole Proprietor | N |
| Credentials | MBBS |
NPI Number Detail
| NPI Number | 1386804409 |
|---|---|
| Provider Enumeration Date | 2008-06-12 |
| Last Updated Date | 2020-11-18 |
Provider Mailing Address Detail
| Address | 125 Queens Rd Ste 600 |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282043215 |
| Phone Number | 9803026600 |
| Fax Number | 9803026605 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 2013-01292 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NC1838 | SC | -- | |
| 1386804409 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Omotayo Olusola Fasan by the Centers for Medicare & Medicaid Services?
The Omotayo Olusola Fasan has been issued the NPI (National Provider Identifier) 1386804409, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Omotayo Olusola Fasan?
The Omotayo Olusola Fasan is situated at 125 Queens Rd Ste 600, in the city of Charlotte, state of NC, with the zip code 282043215.
What is Omotayo Olusola Fasan's area of expertise and its corresponding taxonomy classification?
The Omotayo Olusola Fasan's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1386804409 to Omotayo Olusola Fasan?
The Centers for Medicare & Medicaid Services assigned the 1386804409 to Omotayo Olusola Fasan on 2008-06-12.
As of what date were the details pertaining to Omotayo Olusola Fasan last refreshed?
The information related to the Omotayo Olusola Fasan, including its address, specialty, and other relevant details, was last updated on 2020-11-18.