Organization
FAHOURY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANIA FAHOURY M.D. (PRINCIPAL)
(419) 843-3627
Entity
Organization
Contact information
Practice address
4411 N HOLLAND SYLVANIA RD, SUITE 201, TOLEDO, OH 43623-3525
(419) 843-3627
(419) 843-9697
Mailing address
4411 N HOLLAND SYLVANIA RD, SUITE 201, TOLEDO, OH 43623-3525
(419) 843-3627
(419) 843-9697
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35086663F
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF9076
RAILROAD MEDICARE
OH
Enumeration date
10/16/2007
Last updated
11/25/2009
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