Dr. Fatah Abdul Wallizada
M.D. | Pediatrics | Male
Dr. Fatah Abdul Wallizada, M.D. is a Jacksonville, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Fatah Abdul Wallizada is
1395 Cassat Ave, Suite# 1, Jacksonville, Florida - 32205-9616. He can be contacted on phone at
904-388-5832 and fax number 904-388-6270.
Dr. Fatah Abdul Wallizada is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Fatah Abdul Wallizada is
1255351599 which was assigned by NPPES on 20 Jul, 2006 and it was last updated on 08 Jul, 2007.
Dr. Fatah Abdul Wallizada license number is
ME0062087 for Pediatrics (208000000X) in Florida.
Dr. Fatah Abdul Wallizada is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Fatah Abdul Wallizada basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Fatah Abdul Wallizada |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Fatah Abdul Wallizada address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1395 Cassat Ave, Suite# 1
Jacksonville, FL, 32205-9616
United States |
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| Phone Number : | 904-388-5832 |
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| Fax Number : | 904-388-6270 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1255351599 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Jul, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Fatah Abdul Wallizada are as mentioned. Primary taxonomy code for Dr. Fatah Abdul Wallizada, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | ME0062087 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Fatah Abdul Wallizada such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 371234600 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1395 Cassat Ave, Suite# 1
Jacksonville, FL, 32205-9616
United States |
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| Phone Number : | 904-388-5832 |
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| Fax Number : | 904-388-6270 |
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Business Location:
Patients can refer following map for directions to
Dr. Fatah Abdul Wallizada practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.