Individual
MIR FAHAD FAISAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 426-9545
(812) 858-4512
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 426-9545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2012018756
MO
207RG0100X
Gastroenterology Physician
Primary
01081757A
IN
Other
Enumeration date
07/06/2012
Last updated
07/22/2019
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