Individual
ANAAM FAYYAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10175 GATEWAY BLVD W STE 100, EL PASO, TX 79925-7618
(915) 283-3953
Mailing address
10175 GATEWAY BLVD W MEDICAL PLAZA II STE 140, EL PASO, TX 79925-7618
(915) 283-3953
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2024-01652
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
10/14/2024
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