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Dr. Omotayo Olusola Fasan, MBBS
Hematology (Internal Medicine) Physician in Charlotte, North Carolina
NPI 1386804409

Omotayo Olusola Fasan is a Hematology (Internal Medicine) Physician based in Charlotte, NC and is specialized in Hematology. Omotayo Olusola Fasan practices in Charlotte, NC and has the professional credentials of MBBS. The NPI Number for Omotayo Olusola Fasan is 1386804409 and holds a License No. 2013-01292 (North Carolina).

The current practice location address for Omotayo Olusola Fasan is 125 Queens Rd Ste 600, Charlotte, NC and can be reached out via phone at 980-302-6600 and via fax at 980-302-6605.

Location: 125 Queens Rd Ste 600, Charlotte, NC, 28260-0447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386804409
Provider Name
Omotayo Olusola Fasan
Credential
MBBS
Provider Entity Type
Individual
Gender
Male
Address
125 Queens Rd Ste 600, Charlotte, NC, 28260-0447
Phone Number
980-302-6600
Fax Number
980-302-6605
Provider Enumeration Date
06/12/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NC1838 05 SC
1386804409 05 NC
institution
Provider Business Practice Location Address Details
Address
125 Queens Rd Ste 600
City
Charlotte
State
North Carolina
Zip
28204-3215
Phone Number
980-302-6600
Fax Number
980-302-6605
person
Provider Business Mailing Address Details
Address
125 Queens Rd Ste 600
City
Charlotte
State
North Carolina
Zip
28204-3215
Phone Number
980-302-6600
Fax Number
980-302-6605
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
MD433151 (Pennsylvania)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology
Taxonomy
207RH0000X
License No.
2013-01292 (North Carolina)
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
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