Healthcare Provider Details

I. General information

NPI: 1427980788
Provider Name (Legal Business Name): MR. NAVEED FIAZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2228 BERGEN AVE APT 2
BROOKLYN NY
11234-6611
US

IV. Provider business mailing address

2228 BERGEN AVE APT 2
BROOKLYN NY
11234-6611
US

V. Phone/Fax

Practice location:
  • Phone: 816-739-7322
  • Fax:
Mailing address:
  • Phone: 816-739-7322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number157914
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: