Individual
NABIL W. FAHMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(855) 446-5937
(740) 446-5486
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5131
(740) 446-5486
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18076
WV
207R00000X
Internal Medicine Physician
Primary
35-06-5812
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007576
ANTHEM BCBS
—
01
—
000000181887
UNISON MEDICAID
OH
01
—
001714076
MOUNTAIN STATE BCBS
—
05
—
0077484000
—
WV
01
—
0991155
MOLINA MEDICAID
OH
05
—
0991155
—
OH
01
—
110095042
RR MEDICARE
—
01
—
310917085063
CARESOURCE MEDICAID
OH
01
—
P00806990
WV RAILROAD MEDICARE
WV
Enumeration date
05/24/2006
Last updated
01/21/2021
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