Healthcare Provider Details

I. General information

NPI: 1669098604
Provider Name (Legal Business Name): SHEHAB FOIZ IMAM DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2020
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 N ELM ST
HIGH POINT NC
27262-4331
US

IV. Provider business mailing address

100 DUKE HEALTH CARY PLACE SUITE 420
CARY NC
27519
US

V. Phone/Fax

Practice location:
  • Phone: 336-878-6000
  • Fax: 336-716-0030
Mailing address:
  • Phone: 919-668-7600
  • Fax: 919-385-9786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number2024-01837
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberLL83274
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: