Individual
DR. KHALED AHMED FAWAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5 E 98TH ST # 1188, BOX 1188, NEW YORK, NY 10029-6501
(212) 241-1621
Mailing address
5 E 98TH ST, ROOM 908, BOX 1188, NEW YORK, NY 10029-6501
(212) 241-1621
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
P03507
NY
Other
Enumeration date
09/25/2016
Last updated
09/25/2016
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