Healthcare Provider Details

I. General information

NPI: 1639865264
Provider Name (Legal Business Name): ANAS BILAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2023
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1638 OWEN DR
FAYETTEVILLE NC
28304-3424
US

IV. Provider business mailing address

1638 OWEN DRIVE
FAYETTEVILLE NC
28304
US

V. Phone/Fax

Practice location:
  • Phone: 910-615-5663
  • Fax: 910-615-5080
Mailing address:
  • Phone: 910-615-3960
  • Fax: 910-615-9907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number2026-02894
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2026-02894
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: