MEDICARE: DR. JOHN NABIL KAMEL FAHMY ELMENEAWY M.B.B.CH.

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
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	25MA12217500	NJ

General Provider Information

NPI Number	:	1891372108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN NABIL KAMEL FAHMY ELMENEAWY M.B.B.CH.

Provider Business Mailing Address
First Line	:	1505 W SHERMAN AVE
Second Line	:
City	:	VINELAND
State	:	NJ
Zip	:	08360-7059
Country	:	US
Telephone Number	:	856-641-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	18100 WEST RD APT 202
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-3770
Country	:	US
Telephone Number	:	832-908-7455
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2021
Last Update Date	:	03/31/2026

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