| Fakhri Internal Medicine Pa | |
|
741b Tilghman Dr Dunn NC 28334-5507 | |
| (252) 258-3475 | |
| Not Available |
| Full Name | Fakhri Internal Medicine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 741b Tilghman Dr, Dunn, North Carolina |
| Authorized Official Name and Position | Mouhamed Iyad Fakhri (OWNER) |
| Authorized Official Contact | 2522583475 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fakhri Internal Medicine Pa 741b Tilghman Dr Dunn NC 28334-5507 Ph: (252) 258-3475 | Fakhri Internal Medicine Pa 741b Tilghman Dr Dunn NC 28334-5507 Ph: (252) 258-3475 |
| NPI Number | 1376195230 |
|---|---|
| Provider Enumeration Date | 07/11/2019 |
| Last Update Date | 12/11/2019 |
| Medicare PECOS PAC ID | 8123350998 |
|---|---|
| Medicare Enrollment ID | O20191028002213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376195230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mouhamed Iyad Fakhri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205835832 PECOS PAC ID: 2062407869 Enrollment ID: I20040420000501 |
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