Individual
HANY AZIZ KAOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
154 BEACON DRIVE, SUITE I, WINTERVILLE, NC 28590-7860
(252) 353-1114
(252) 353-1119
Mailing address
4300 SAPPHIRE CT 110, GREENVILLE, NC 27834-9079
(252) 830-7561
(252) 413-0932
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
200901680
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5914592
—
NC
Enumeration date
11/29/2007
Last updated
07/09/2015
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