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NPI Code Detail

MEDICARE: DR. FADI ALHAFEZ M.D.

MEDICARE: DR. FADI ALHAFEZ M.D.
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
1208M00000XHospitalist PhysicianMD153218OR
2207R00000XInternal Medicine PhysicianMD153218OR

General Provider Information

NPI Number : 1902839111
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FADI ALHAFEZ M.D.
Provider Business Mailing Address
First Line : 5633 N LIDGERWOOD ST
Second Line :
City : SPOKANE
State : WA
Zip : 99208-1224
Country : US
Telephone Number : 509-590-0440
Fax Number :
Provider Business Practice Location Address
First Line : 5633 N LIDGERWOOD ST
Second Line :
City : SPOKANE
State : WA
Zip : 99208-1224
Country : US
Telephone Number : 509-590-0440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2006
Last Update Date : 04/05/2021

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