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FAYYAZ SUTTERWALA M.D. PH.D. NPI 1790866200


NPI Information

NPI: 1790866200
Provider Name: FAYYAZ SUTTERWALA, M.D., PH.D.
Classification: Internal Medicine - 207RI0200X
Entity Type: Individual

Specialization: Infectious Disease

PECOS Registration: Yes

Address:
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA
ZIP 90048
Phone: (310) 423-2948
Get Directions

Fayyaz Sutterwala, M.D., PH.D. is an infectious disease internal medicine in West Hollywood, CA with 24 years of experience. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. Fayyaz Sutterwala, M.D., PH.D. NPI is 1790866200. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

8700 BEVERLY BLVD
WEST HOLLYWOOD, CA
ZIP 90048-804
Phone: (310) 423-2948
Fax: (310) 967-1773

The NPI 1790866200 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 10/19/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0200XInternal MedicineInfectious Disease37567IOWANo
2207R00000XInternal Medicine37567IOWANo
3207R00000XInternal Medicine042792CONNECTICUTNo
4207RI0200XInternal MedicineInfectious DiseaseC143045CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00756369MEDICARE PINIOWA
2I21991MEDICARE PINIOWA
371372OTHERIOWAWELLMARK BCBS

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: 5/5/2024

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.