Individual
FAWAD VIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 308-1301
(573) 202-2480
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
(573) 426-2108
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301105011
MI
207RC0000X
Cardiovascular Disease Physician
2021016790
MO
207RC0000X
Cardiovascular Disease Physician
BP10059060
TX
207RI0011X
Interventional Cardiology Physician
Primary
2021016790
MO
Other
Enumeration date
06/30/2014
Last updated
02/20/2025
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