Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fawad Haroon, MD

Individual provider Internal Medicine Physician · NPI 1659989119

Fawad Haroon, MD is an Internal Medicine in Saint Louis, Missouri. Qualified in 2018, 8 years ago. Practices with Tidalhealth Specialty Care LLC, a 366-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
8
Licensed in
MO
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

621 S New Ballas Rd Ste 3019B
Saint Louis, MO 63141-8267
Phone: (314) 509-5305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2020013978 (MO)

Record details

NPI number1659989119
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 20, 2020
Last updated in NPPESJuly 20, 2020
Certification dateJuly 20, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Tidalhealth Specialty Care Llc — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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