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Individual
DR. FADY S WANNA
Active
Individual
DR. FADY S WANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
37777
AL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
43813
GA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
51616
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000876895A
—
GA
01
—
511I330005
MEDICARE
—
05
—
PENDING
—
KY
Enumeration date
01/16/2006
Last updated
08/29/2024
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