Healthcare Provider Details

I. General information

NPI: 1346380896
Provider Name (Legal Business Name): FARIS HAWIT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 STOAKLEY ROAD SUITE 300
PRINCE FREDERICK MD
20678-4015
US

IV. Provider business mailing address

PO BOX 1540
PRINCE FREDERICK MD
20678-1540
US

V. Phone/Fax

Practice location:
  • Phone: 410-535-4561
  • Fax:
Mailing address:
  • Phone: 410-535-4561
  • Fax: 866-397-4120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberD61859
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberD61859
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: