Healthcare Provider Details

I. General information

NPI: 1770935488
Provider Name (Legal Business Name): AHMED MARAEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2016
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL CENTER BOULVARD
WINSTON SALEM NC
27157-0001
US

IV. Provider business mailing address

1 MEDICAL CENTER BOULVARD
WINSTON SALEM NC
27157-0001
US

V. Phone/Fax

Practice location:
  • Phone: 336-716-9253
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number57.253933
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: