Amira Boulos Fanous-paul, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Roswell, Georgia. Her current practice location is
3000 Hospital Blvd, Roswell, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 751-2500.
Amira Boulos Fanous-paul is licensed to practice in Georgia (license number 77475) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326007865.
Physician's Profile
Full Name | Amira Boulos Fanous-paul |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 3000 Hospital Blvd, Roswell, Georgia |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Amira Boulos Fanous-paul attended and graduated from in
NPI Data:
- NPI Number: 1326007865
- Provider Enumeration Date: 03/22/2006
- Last Update Date: 09/26/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Amira Boulos Fanous-paul such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326007865 | NPI | - | NPPES |
177879701 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 38616 (Kentucky) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 77475 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amira Boulos Fanous-paul is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amira Boulos Fanous-paul, MD 3000 Hospital Blvd, Roswell, GA 30076-4915 Ph: (770) 751-2500 | Amira Boulos Fanous-paul, MD 3000 Hospital Blvd, Roswell, GA 30076 Ph: (770) 751-2500 |
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