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NPI Code Detail

MEDICARE: JOE ALFEGHALY

MEDICARE: JOE ALFEGHALY
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 PhysicianA205671CA
2207R00000XInternal Medicine PhysicianTP140KY
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1548831027
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOE ALFEGHALY
Provider Business Mailing Address
First Line : 4212 MISSOURI FLAT RD
Second Line :
City : PLACERVILLE
State : CA
Zip : 95667-6269
Country : US
Telephone Number : 530-621-7700
Fax Number : 530-621-7713
Provider Business Practice Location Address
First Line : 4212 MISSOURI FLAT RD
Second Line :
City : PLACERVILLE
State : CA
Zip : 95667-6269
Country : US
Telephone Number : 530-621-7700
Fax Number : 530-621-7713
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2021
Last Update Date : 01/23/2026

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1013164771 — PAMELA NAMENYI FNP, PNP
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Practice Fax: 530-621-7713

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