Individual
ANUM FAYYAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 S JACKSON ST FL 2, LOUISVILLE, KY 40202-1622
(502) 561-8844
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 561-8844
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
036-157643
IL
207RI0200X
Infectious Disease Physician
Primary
TP118
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
OK
Other
Enumeration date
06/20/2017
Last updated
05/16/2024
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