Active NPI
T Fazili MD PC
- Infectious Disease Physician
- Norman, OK
National Provider Identifier
1326292939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 26464
- Legal business name
- T FAZILI MD PC
- Practice address
- 901 N Porter Ave
Norman, OK 73071-6404 - Phone
- (405) 307-1000
- NPI assigned
- Nov 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tasaduq Fazili, MD
- Title
- Owner/Physician
- Phone
- (405) 307-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 26464 | OK | Primary |
Addresses
Primary practice location
901 N Porter Ave
Norman, OK 73071-6404
Mailing address
PO Box 115
Norman, OK 73070-0115
Phone (405) 307-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200221440A | Medicaid | OK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236643200000",
"number": "1326292939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 115",
"city": "NORMAN",
"state": "OK",
"postal_code": "730700115",
"telephone_number": "405-307-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N PORTER AVE",
"city": "NORMAN",
"state": "OK",
"postal_code": "730716404",
"telephone_number": "405-307-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "T FAZILI MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-10",
"last_updated": "2009-03-10",
"status": "A",
"authorized_official_last_name": "FAZILI",
"authorized_official_first_name": "TASADUQ",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "405-307-1000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "OK",
"license": "26464",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200221440A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.