Individual provider · Type 1 NPI

Mohammad Tariq Al Fazal, MD

Allergy & Immunology Physician · Madison, WI

NPI number 1629773106 Active

Practice location

600 Highland Ave
Madison, WI 53792-0001

Call (608) 263-6400 Map

Specialties and licenses

TaxonomyCodeLicense
Allergy & Immunology Physician Primary 207K00000X8719920 (WI)

Allergy & Immunology Physician: An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune dise…

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About NPI 1629773106

Mohammad Tariq Al Fazal, MD's National Provider Identifier is 1629773106, issued on Apr 3, 2023. The primary taxonomy on file is Allergy & Immunology Physician (207K00000X), and the practice location is in Madison, WI. The record was last updated on Jul 1, 2026.