Organization
ASHRAF FANOUS, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHRAF FATHI FANOUS M.D. (OWNER)
(301) 997-1494
Entity
Organization
Contact information
Practice address
41625 PARK AVENUE, SUITE 300, LEONARDTOWN, MD 20650-8252
(301) 997-1494
(301) 997-1497
Mailing address
PO BOX 2252, LEONARDTOWN, MD 20650-8252
(301) 997-1494
(301) 997-1497
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0064252
MD
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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