Individual
FAHIMA HANNOUFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
660-A SOUTH MAIN ST MADISON, MADISON, WV 25130
(304) 369-4250
(304) 369-8808
Mailing address
660-A SOUTH MAIN ST MADISON, MADISON, WV 25130
(304) 369-4250
(304) 369-8808
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
11/21/2025
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