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)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
Provider Address
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