Fazal, Mubasher

Fazal, Mubasher is an individual health care provider with primary practice located at 2500 W 12Th St Ste C , Erie PA 16505-4500. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Fazal, Mubasher can be contacted via phone (814) 877-8730.

Contact Information

Primary practice address
2500 W 12Th St Ste C Erie PA 16505-4500
Phone: (814) 877-8730
Fax: (814) 877-8731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207QS1201X MD067859L Pennsylvania
Allopathic & Osteopathic Physicians / Sleep Medicine 207QS1201X 0101243795 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0068524 Maryland
Allopathic & Osteopathic Physicians / Sleep Medicine 207QS1201X D0068524 Maryland
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X D0068524 Maryland
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 0101243795 Virginia

Profile Details

NPI number 1740275551
LBN Legal business name Fazal, Mubasher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jun 17th, 2022 - about 4 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 1740275551 NPPES
Virginia MEDICAID 1740275551
Virginia Other 196357
Virginia Other A175

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