Individual
RAED N FAHMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11511 CANTERWOOD BLVD STE 100, GIG HARBOR, WA 98332-5813
(253) 382-3716
(253) 858-4978
Mailing address
11511 CANTERWOOD BLVD STE 100, GIG HARBOR, WA 98332-5813
(253) 382-3716
(253) 858-4978
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00038152
WA
207RC0000X
Cardiovascular Disease Physician
Primary
MD00038152
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0249918
STATE L&I
WA
05
—
1007375
—
WA
Enumeration date
02/13/2007
Last updated
12/02/2025
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