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NPI Code Detail

MEDICARE: HANY LATIF MOUFID FARAG MD

MEDICARE: HANY LATIF MOUFID FARAG 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
1207R00000XInternal Medicine Physician2019-00112NC
2207RC0200XCritical Care Medicine (Internal Medicine) Physician2019-00112NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538362066
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANY LATIF MOUFID FARAG MD
Provider Business Mailing Address
First Line : 10926 S TRYON ST STE D
Second Line :
City : CHARLOTTE
State : NC
Zip : 28273-4154
Country : US
Telephone Number : 980-224-7288
Fax Number : 800-507-2885
Provider Business Practice Location Address
First Line : 10926 S TRYON ST STE D
Second Line :
City : CHARLOTTE
State : NC
Zip : 28273-4154
Country : US
Telephone Number : 980-224-7288
Fax Number : 800-507-2885
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2007
Last Update Date : 08/16/2024

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