Active NPI
Misbah Fazlani
- Nephrology Physician
- Madison, MS
National Provider Identifier
1245153675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 207RN0300X
- Practice address
- 1013 N Azalea Dr
Madison, MS 39110-8583 - Phone
- (769) 361-6113
- NPI assigned
- Aug 3, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 207RN0300X | MS | Primary |
Addresses
Primary practice location
1013 N Azalea Dr
Madison, MS 39110-8583
Mailing address
1013 N Azalea Dr
Madison, MS 39110-8583
Phone (769) 361-6113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1245153675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 N AZALEA DR",
"city": "MADISON",
"state": "MS",
"postal_code": "391108583",
"telephone_number": "769-361-6113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 N AZALEA DR",
"city": "MADISON",
"state": "MS",
"postal_code": "391108583",
"telephone_number": "769-361-6113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAZLANI",
"first_name": "MISBAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-03",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MS",
"license": "207RN0300X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.