Healthcare Provider Details

I. General information

NPI: 1891850921
Provider Name (Legal Business Name): NAAZ FATTEH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 S UNIVERSITY DR STE 106
PLANTATION FL
33324
US

IV. Provider business mailing address

817 S UNIVERSITY DR STE 106
PLANTATION FL
33324
US

V. Phone/Fax

Practice location:
  • Phone: 954-703-9900
  • Fax: 954-712-6475
Mailing address:
  • Phone: 954-703-9900
  • Fax: 954-712-6475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD56436
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD32455
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101052723
License Number StateVA
# 4
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME65183
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number37233
License Number StateMS
# 6
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number01100111A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: