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Individual

FADI ADNAN NIYAZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1185 TOWN CENTRE DR, EAGAN, MN 55123-1187
(612) 871-1145
(612) 870-5491
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4901
(319) 384-8559

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.126070
OH
207R00000X
Internal Medicine Physician
MD-44099
IA
207RG0100X
Gastroenterology Physician
Primary
MD-44099
IA

Other

Enumeration date
04/02/2012
Last updated
05/19/2022
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