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General NPI Number Information
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NPI Number | 1295889202
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Entity Type | Individual
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Provider Name | SAMEH FAYEK MD
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Gender | Male
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 03/19/2021
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Provider Practice Location Address
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Address Line | 25550 HAWTHORNE BLVD STE 209
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City | TORRANCE
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State | CA
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Zip | 90505-6832
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Country | US
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Telephone | 310-400-0645
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Fax | 424-270-6232
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Provider Business Mailing Address
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Address Line | 6504 PARK LN
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City | DALLAS
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State | TX
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Zip | 75225-2307
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Country | US
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Telephone | 443-986-1649
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | D0067999
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | Q4097
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD428478
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A83958
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License Number State | CA
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