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Individual

HUSSAM EDDIN TAWFIQ MOH'D BANNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2226 NELSON HWY STE 200, CHAPEL HILL, NC 27517-9638
(984) 974-2020
Mailing address
5221 PARAMOUNT PKWY STE 420, MORRISVILLE, NC 27560-5491

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101277520
VA
207W00000X
Ophthalmology Physician
2020-03244
NC
207W00000X
Ophthalmology Physician
Primary
BP20061721
TX
207WX0120X
Cornea and External Diseases Specialist Physician
0101277520
VA
390200000X
Student in an Organized Health Care Education/Training Program
BP20061721
TX

Other

Enumeration date
06/09/2017
Last updated
03/10/2026
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