Individual
YASIR FASIH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 W LINCOLN HWY, SCHERERVILLE, IN 46375-2650
(219) 322-3311
(219) 322-8210
Mailing address
505 W LINCOLN HWY, SCHERERVILLE, IN 46375-2650
(219) 322-3311
(219) 322-8210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01058432A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200902230A
—
IN
01
—
P00645015
RAILROAD MEDICARE
IN
Enumeration date
05/26/2005
Last updated
06/18/2010
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