Provider Demographics
NPI:1326211905
Name:CADER, FAZLUL HAQ (MD)
Entity Type:Individual
Prefix:DR
First Name:FAZLUL
Middle Name:HAQ
Last Name:CADER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 DESCANSO WAY
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-3524
Mailing Address - Country:US
Mailing Address - Phone:310-515-5291
Mailing Address - Fax:310-515-1636
Practice Address - Street 1:2401 DESCANSO WAY
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90504-3524
Practice Address - Country:US
Practice Address - Phone:310-515-5291
Practice Address - Fax:310-515-1636
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-04
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA33010207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology