Fadheel, Faris

Fadheel, Faris is an individual health care provider with primary practice located at 1312 Professional Blvd Ste 201 , Evansville IN 47714-8019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Fadheel, Faris can be contacted via phone (812) 476-7523.

Contact Information

Primary practice address
1312 Professional Blvd Ste 201 Evansville IN 47714-8019
Phone: (812) 476-7523
Fax: (812) 476-6686
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036101230 Illinois
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4301065910 Michigan
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01052686A Indiana

Profile Details

NPI number 1205836608
LBN Legal business name Fadheel, Faris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated May 14th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205836608 NPPES
Indiana MEDICAID 200271080A

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