Individual
DR. FERAS NADHUM FAKHRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-5690
(216) 444-1162
Mailing address
5200 N RESERVE AVE APT 1E, CHICAGO, IL 60656-2418
(773) 980-3237
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216946
STATE LICENSE
MA
Enumeration date
10/16/2009
Last updated
10/16/2009
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