=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588544019
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KAROL AND HANI LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/04/2025
-----------------------------------------------------
Last Update Date | 09/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1778 METROMEDICAL DR
-----------------------------------------------------
City | FAYETTEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28304-3861
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 833-221-4169
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1778 METROMEDICAL DR
-----------------------------------------------------
City | FAYETTEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28304-3861
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 833-221-4169
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ZULFIQAR ALI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 833-221-4169
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------