MEDICARE: ROHINA FAZIL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	29287	CA

General Provider Information

NPI Number	:	1881733053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROHINA FAZIL

Provider Business Mailing Address
First Line	:	369 16TH ST
Second Line	:
City	:	KERMAN
State	:	CA
Zip	:	93630-1997
Country	:	US
Telephone Number	:	254-648-8659
Fax Number	:

Provider Business Practice Location Address
First Line	:	3451 W SHAW AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-3242
Country	:	US
Telephone Number	:	559-492-8327
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	07/30/2024

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Directions to “ ROHINA FAZIL ” Practice Location

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