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NPI Code Detail

MEDICARE: DR. HALA MUADDI MD, PHD, FRCSC

MEDICARE:  DR. HALA  MUADDI  MD, PHD, FRCSC
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
1208600000XSurgery Physician2025-01517NC
22086X0206XSurgical Oncology Physician72982MN
3208600000XSurgery Physician72982MN

General Provider Information

NPI Number : 1427730027
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HALA MUADDI MD, PHD, FRCSC
Provider Business Mailing Address
First Line : 1025 MOREHEAD MEDICAL DR STE 600
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-2969
Country : US
Telephone Number : 704-355-1813
Fax Number :
Provider Business Practice Location Address
First Line : 1025 MOREHEAD MEDICAL DR STE 600
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-2969
Country : US
Telephone Number : 704-355-1813
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2023
Last Update Date : 07/21/2025

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