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NPI Code Detail

MEDICARE: DR. MOHAMED FEKRY AL-SADEK M.D.

MEDICARE: DR. MOHAMED FEKRY AL-SADEK M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianA89182CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154353829
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMED FEKRY AL-SADEK M.D.
Provider Business Mailing Address
First Line : PO BOX 9255
Second Line :
City : FOUNTAIN VALLEY
State : CA
Zip : 92728-9255
Country : US
Telephone Number : 949-335-5656
Fax Number : 949-449-8313
Provider Business Practice Location Address
First Line : 14662 NEWPORT AVE
Second Line :
City : TUSTIN
State : CA
Zip : 92780-6064
Country : US
Telephone Number : 949-335-5656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2006
Last Update Date : 01/16/2026

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