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

Vadjista Broumand, MD

Individual provider Internal Medicine Physician · NPI 1376537308

Vadjista Broumand, MD is an Internal Medicine in Fayetteville, New York. Graduated from University of Miami, Lm Miller School of Medicine in 2000, 26 years ago. Practices with Dr Fazeli and Dr Broumand LLC, an 11-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
26
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4110 Medical Center Dr Ste 110
Fayetteville, NY 13066
Phone: (315) 663-0100
Fax: (315) 663-0052
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 235818 (NY)

Record details

NPI number1376537308
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 6, 2005
Last updated in NPPESDecember 10, 2014
Mailing address4110 Medical Center Dr, Suite 110, Fayetteville, NY 13066

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesDERMATOLOGY
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Dr. Fazeli And Dr. Broumand Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fayetteville