Provider Demographics
NPI:1245627785
Name:FAHAD NAJEEB MD PLLC
Entity type:Organization
Organization Name:FAHAD NAJEEB MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:FAHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:NAJEEB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:607-237-6043
Mailing Address - Street 1:1838 MCCLARY ST
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-4492
Mailing Address - Country:US
Mailing Address - Phone:607-237-6043
Mailing Address - Fax:817-622-8068
Practice Address - Street 1:1838 MCCLARY ST
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-4492
Practice Address - Country:US
Practice Address - Phone:607-237-6043
Practice Address - Fax:817-622-8068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3930207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty