Individual
JAVID FAZILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 NE 10TH ST, OUPB 2300, OKLAHOMA CITY, OK 73104-5417
(405) 271-8478
Mailing address
1122 NE 13TH ST, ORI 236, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
22533
OK
Other
Enumeration date
03/11/2006
Last updated
01/18/2011
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