Individual provider · Type 1 NPI

Omotayo Olusola Fasan, MBBS

Hematology (Internal Medicine) Physician · Charlotte, NC

NPI number 1386804409 Active

Practice location

125 Queens Rd Ste 600
Charlotte, NC 28204-3215

Call (980) 302-6600 Map

Fax (980) 302-6605

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

100 N Academy Ave, Danville, PA 17822-2001 · (570) 271-6045

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician	207R00000X	2013-01292 (NC)
Internal Medicine Physician	207R00000X	MD433151 (PA)
Internal Medicine Physician	207R00000X	MT183411 (PA)
Hematology (Internal Medicine) Physician	207RH0000X	MD433151 (PA)
Hematology (Internal Medicine) Physician	207RH0000X	MT183411 (PA)
Hematology (Internal Medicine) Physician Primary	207RH0000X	2013-01292 (NC)

Hematology (Internal Medicine) Physician: 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.

4 other providers at this address

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About NPI 1386804409

Omotayo Olusola Fasan, MBBS's National Provider Identifier is 1386804409, issued on Jun 12, 2008. The primary taxonomy on file is Hematology (Internal Medicine) Physician (207RH0000X), and the practice location is in Charlotte, NC. The record was last updated on Nov 18, 2020.