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NATHANIEL FASTENBERG MD NPI 1417942905


NPI Information

NPI: 1417942905
Provider Name: NATHANIEL FASTENBERG, MD
Classification: Internal Medicine - 207RX0202X
Entity Type: Individual

Specialization: Medical Oncology

Address:
6111 E ARBOR AVE
MESA, AZ
ZIP 85206
Phone: (480) 981-1326
Get Directions

Nathaniel Fastenberg, MD is a medical oncology internal medicine in Mesa, AZ. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. Nathaniel Fastenberg, MD NPI is 1417942905. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6111 E ARBOR AVE
MESA, AZ
ZIP 85206-059
Phone: (480) 981-1326
Fax: (480) 981-1445

The enumeration date for this NPI number is 9/12/2005 and was last updated on 6/4/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RX0202XInternal MedicineMedical Oncology11622ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z109284MEDICARE PINARIZONA
2P00329821OTHERARIZONARAILROAD MEDICARE
3236217OTHERARIZONAAHCCCS
4C99457MEDICARE UPINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.