Doctor Name: | FIAZ AFZAL |
NPI Number: | 1003801044 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 11980R |
Business Practice Address: | 1000 Veterans Blvd Kenner, LA - 70062 |
Business Phone Number: | 5048919800 |
Business Fax Number: | 5048919712 |
Mailing Address: | 1000 Veterans Blvd, KENNER |
State: | LA |
Postal Code: | 70062 |
Phone Number: | 5048919800 |
Fax Number: | 5048919712 |
NPI Enumeration Date: | 09/15/2005 |
NPI Last Update Date: | 06/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 11980R |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |