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NPI Code Detail

MEDICARE: DR. ANWAR DARWISH AL-HAIDARY

MEDICARE:  DR. ANWAR DARWISH AL-HAIDARY
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
1207RN0300XNephrology Physician9300006NC

General Provider Information

NPI Number : 1205829066
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANWAR DARWISH AL-HAIDARY
Provider Business Mailing Address
First Line : 3700 BARRETT DR STE 200
Second Line :
City : RALEIGH
State : NC
Zip : 27609-7213
Country : US
Telephone Number : 919-231-3966
Fax Number : 919-231-3912
Provider Business Practice Location Address
First Line : 2503 WOOTEN BLVD SW
Second Line :
City : WILSON
State : NC
Zip : 27893-4426
Country : US
Telephone Number : 252-243-2268
Fax Number : 252-243-2917
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2005
Last Update Date : 09/11/2024

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Directions to “ DR. ANWAR DARWISH AL-HAIDARY ” Practice Location

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