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Individual
FAZILATH FATIMA
Active
Individual
FAZILATH FATIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301079615
MI
207R00000X
Internal Medicine Physician
Primary
C133691
CA
208M00000X
Hospitalist Physician
35.097068
OH
208M00000X
Hospitalist Physician
4301079615
MI
208M00000X
Hospitalist Physician
C133691
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962429571
NPI
MI
05
—
5178262-10
—
MI
01
—
70-0-F32947-0
BCBS CPIN
MI
Enumeration date
07/17/2006
Last updated
08/09/2016
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