Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. OMOTAYO OLUSOLA FASAN, MBBS
ActiveDR. OMOTAYO OLUSOLA FASAN, MBBS is a Hematology & Oncology healthcare provider located in CHARLOTTE, North Carolina. NPI 1386804409 is currently active in the NPPES registry. Verify at CMS.
Hematology & Oncology · CHARLOTTE, NC
Registration Details
- NPI Number
- 1386804409
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2008 (18.130479498716 yrs)
- Last Updated
- Nov 18, 2020
- Licenses
-
2013-01292 (NC)MD433151 (PA)MT183411 (PA)MD433151 (PA)MT183411 (PA)
Practice Information
- Address
-
125 QUEENS RD STE 600CHARLOTTE, NC, 282043215Browse NC providers · Browse ZIP 28204
- Phone
- 9803026600
- Fax
- 9803026605
- Primary Specialty
-
Hematology & Oncology
207RH0000X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Hematology & Oncology
- Additional Specialty
- Hematology & Oncology
Other Hematology & Oncology Providers in CHARLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| KENNETH IRWIN FINK | MD | 1205817558 |
| MARY ANN KNOVICH | MD | 1750365128 |
| RUBEN ANTHONY MESA | MD | 1962480475 |
| CHARLES HENRY PACKMAN | MD | 1992720494 |
| DR. DAVID WELDON MILLER | M.D. | 1679592430 |
| JOHN STUART SALMON | MD | 1043234370 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.