National Provider Identifier
Mohamad Yousuf Fazili, M.D.
Mohamad Yousuf Fazili, M.D. is listed in the NPPES registry with a primary specialty of Surgery Physician in Cheektowaga, NY and a listed phone number of (716) 833-3008.
Profile Overview
- NPI
- 1265477491
- Provider Type
- Individual
- Primary Specialty
- Surgery Physician
- Enumeration Date
- June 19, 2006
- Last Updated
- July 09, 2007
Practice Location
- 3469 Harlem RD
- Cheektowaga, NY 14225-2001
Phone: (716) 833-3008
Specialties
- Surgery Physician (208600000X)
Full Record
- NPI
- 1265477491
- Entity Type
- Individual
- Last Name
- Fazili
- First Name
- Mohamad
- Middle Name
- Yousuf
- Credential
- M.D.
- Mailing Street Address
- 3469 Harlem RD
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-2001
- Mailing Country
- US
- Mailing Phone
- (716) 833-3008
- Mailing Fax
- (716) 833-3009
- Practice Street Address
- 3469 Harlem RD
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-2001
- Practice Country
- US
- Practice Phone
- (716) 833-3008
- Practice Fax
- (716) 833-3009
- Enumeration Date
- June 19, 2006
- Last Updated
- July 09, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgery Physician (208600000X)
- Other Identifiers
- 1704040 (NY, Independent Health), 00657034 (NY), 00020506201 (NY, Univera Healthcare), 000507548001 (NY, Blue Cross/Blue Shield)