Individual
FADY MAMDOUH FAYEK TAWADROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6719 GOV GC PEERY HWY STE 1250, RICHLANDS, VA 24641-0379
(276) 596-6695
(276) 596-6694
Mailing address
6719 GOV GC PEERY HWY, STE 1250, RICHLANDS, VA 24641-0379
(281) 923-1512
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
0101265913
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2014
Last updated
04/02/2020
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