Individual
DR. FADY S WANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 W MAIN ST STE 21, DOTHAN, AL 36305-1058
(205) 620-7523
(205) 620-8667
Mailing address
PO BOX 6599, DOTHAN, AL 36302-6599
(205) 620-7523
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
37777
AL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
43813
GA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
51616
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000876895A
—
GA
01
—
511I330005
MEDICARE
—
05
—
PENDING
—
KY
Enumeration date
01/16/2006
Last updated
08/29/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us