National Provider Identifier

Moayid Omar Fallatah, MD

Moayid Omar Fallatah, MD is listed in the NPPES registry with a primary specialty of Urology Physician in Buffalo, NY and a listed phone number of (716) 628-2227.

NPI 1689557985Buffalo, NYUrology Physician

Profile Overview

NPI
1689557985
Provider Type
Individual
Primary Specialty
Urology Physician
Enumeration Date
July 26, 2025
Last Updated
July 26, 2025

Practice Location

  • Elm And Carlton Streets, Roswell Park Comprehensive Ca
  • Attn: Department Of Urology
  • Buffalo, NY 14263

Phone: (716) 628-2227

Specialties

  • Urology Physician (208800000X)
Full Record
NPI
1689557985
Entity Type
Individual
Last Name
Fallatah
First Name
Moayid
Middle Name
Omar
Name Prefix
Mr.
Credential
MD
Mailing Street Address
Elm And Carlton Streets, Roswell Park Comprehensive Ca
Mailing Address Line 2
Attn: Department Of Urology
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14263
Mailing Country
US
Mailing Phone
(716) 628-2227
Practice Street Address
Elm And Carlton Streets, Roswell Park Comprehensive Ca
Practice Address Line 2
Attn: Department Of Urology
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14263
Practice Country
US
Practice Phone
(716) 628-2227
Enumeration Date
July 26, 2025
Last Updated
July 26, 2025
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Urology Physician (208800000X)