Individual
MOHAMMAD AMAN FASAHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
890 OAK ST SE, SALEM, OR 97301-3905
(503) 561-5200
Mailing address
7 CLEVELAND AVE APT 7, MARTINSVILLE, VA 24112-2925
(779) 423-7020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101261945
VA
208M00000X
Hospitalist Physician
Primary
MD211286
OR
Other
Enumeration date
07/07/2014
Last updated
08/19/2022
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