Individual
JAVERIA MOHAMMAD FAZALULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 ST. MARY'S DRIVE, SUITE 300, EVANSVILLE, IN 47714-0511
(812) 485-5900
Mailing address
801 ST. MARY'S DRIVE, SUITE 300, EVANSVILLE, IN 47714-0511
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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