MEDICARE: DR. NAAZ FATTEH MD

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	207R00000X	Internal Medicine Physician	D56436	MD
2	207RI0200X	Infectious Disease Physician	MD32455	DC
3	207R00000X	Internal Medicine Physician	0101052723	VA
4	207RI0200X	Infectious Disease Physician	ME65183	FL
5	207RI0200X	Infectious Disease Physician	37233	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891850921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAAZ FATTEH MD

Provider Business Mailing Address
First Line	:	1700 NW 49TH ST STE 125
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3750
Country	:	US
Telephone Number	:	954-712-6427
Fax Number	:	954-712-6475

Provider Business Practice Location Address
First Line	:	1625 SE 3RD AVE STE 623
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316
Country	:	US
Telephone Number	:	954-712-6427
Fax Number	:	954-712-6475

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

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	06/02/2026

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