Individual
YOUSEF FAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-5780
(410) 328-8315
Mailing address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-3941
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0103531
MD
207RG0100X
Gastroenterology Physician
Primary
D0103531
MD
Other
Enumeration date
06/03/2019
Last updated
06/30/2025
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