Healthcare Provider Details

I. General information

NPI: 1558277285
Provider Name (Legal Business Name): FARIS MAMOUN HUSNI BAWAB MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ALLEGHENY GENERAL HOSPITAL, 320 EAST NORTH AVENUE WEST PENN HOSPITAL, 4800 FRIENDSHIP AVENUE
PITTSBURGH PA
15212
US

IV. Provider business mailing address

ALLEGHENY GENERAL HOSPITAL, 320 EAST NORTH AVENUE
PITTSBURGH PA
15212
US

V. Phone/Fax

Practice location:
  • Phone: 412-359-4971
  • Fax:
Mailing address:
  • Phone: 412-359-4971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: