Omotayo Fasan, MBBS
NPI 1386804409 · Hematology (Internal Medicine) Physician · Charlotte, NC
Omotayo Fasan, MBBS is a Hematology (Internal Medicine) Physician provider in Charlotte, NC (NPI 1386804409).
Provider details
- NPI number
- 1386804409
- Entity type
- Individual
- Primary specialty
- Hematology (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MBBS
- Sex
- Male
- Sole proprietor
- No
- License
- 2013-01292 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Hematology (Internal Medicine) Physician207RH0000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 100 N Academy AveDanville, PA 17822-2001Phone: (570) 271-6045Fax: (570) 271-6542
Registry dates
- Enumerated
- 2008-06-12
- Last updated
- 2020-11-18
- Certified
- 2020-11-18
Frequently asked questions
- What is Omotayo Fasan's NPI number?
- Omotayo Fasan's National Provider Identifier (NPI) is 1386804409, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Omotayo Fasan's specialty?
- Omotayo Fasan is listed in the NPPES registry with a primary specialty of Hematology (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Omotayo Fasan located?
- Omotayo Fasan's practice location on file with NPPES is 125 Queens Rd Ste 600, Charlotte, NC 28204-3215.
- What is Omotayo Fasan's phone number?
- The practice phone number listed in the NPPES registry for Omotayo Fasan is (980) 302-6600.
- Is Omotayo Fasan's NPI active?
- Yes — Omotayo Fasan's NPI (1386804409) is active in the NPPES registry as of the last update on 2020-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.