| Fanous Clinic Medical Group Pc | |
|
10926 S Tryon St Ste D Charlotte NC 28273-4154 | |
| (980) 224-7288 | |
| (800) 507-2885 |
| Full Name | Fanous Clinic Medical Group Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10926 S Tryon St Ste D, Charlotte, North Carolina |
| Authorized Official Name and Position | Hany Farag (OWNER) |
| Authorized Official Contact | 9802247288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fanous Clinic Medical Group Pc 10926 S Tryon St Ste D Charlotte NC 28273-4154 Ph: (980) 224-7288 | Fanous Clinic Medical Group Pc 10926 S Tryon St Ste D Charlotte NC 28273-4154 Ph: (980) 224-7288 |
| NPI Number | 1275249898 |
|---|---|
| Provider Enumeration Date | 01/26/2023 |
| Last Update Date | 08/16/2024 |
| Medicare PECOS PAC ID | 9931552874 |
|---|---|
| Medicare Enrollment ID | O20240127000108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275249898 | NPI | - | NPPES |
| Provider Name | Hany Farag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538362066 PECOS PAC ID: 8426100074 Enrollment ID: I20190826002068 |
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