Organization

Mouhamed Iyad Fakhri, Md, Pa

Internal Medicine Physician in Clinton, NC(View on Map)

Legal Business Name

Mouhamed Iyad Fakhri, Md, Pa

NPI Number

1861500506

NPI Type

Organization

Enumeration Date

08/25/2006

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Licenses

State

North Carolina

License Number

200301225

Contact
Information

Purpose

Mailing
Location

Address

620 COLLEGE STREET
620 COLLEGE STREET

City

Clinton
Clinton

State

NC
NC

Postal Code

28328
28328

Country

US
US

Telephone Number

(910) 590-0009
(910) 590-0009

Authorized Official

Name

Dr. Mouhamed Fakhri

Title or Position

OWNER

Telephone Number

(910) 590-0009

Identifiers

Identifier

187178
891350K
1350K

Identifier State

Unknown
NC
NC

Identifier Issuer

MEDCOST
Unknown
BLUE CROSS BLUE SHIELD

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/18/2008

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