Bofarrag, Fadel Ahmed

Bofarrag, Fadel Ahmed is an individual health care provider with primary practice located at 701 N 1St St Ste D434 , Springfield IL 62702-3757. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Bofarrag, Fadel Ahmed can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
701 N 1St St Ste D434 Springfield IL 62702-3757
Phone: (217) 545-8000
Fax: (217) 545-7063
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2015014044 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 276951 Massachusetts
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 276951 Massachusetts
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036.170263 Illinois

Profile Details

NPI number 1003291279
LBN Legal business name Bofarrag, Fadel Ahmed
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2015
Last updated Jun 6th, 2024 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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