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NPI Code Detail

MEDICARE: AMANEE IMAD MD

MEDICARE: AMANEE IMAD MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1316889777
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANEE IMAD MD
Provider Business Mailing Address
First Line : 1125 N CHURCH ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1007
Country : US
Telephone Number : 336-832-8035
Fax Number :
Provider Business Practice Location Address
First Line : 1125 N CHURCH ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1007
Country : US
Telephone Number : 336-832-8035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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