Fadel, Hossam Eldin

Fadel, Hossam Eldin is an individual health care provider with primary practice located at 1348 Walton Way Suite 5500, Augusta GA 30901-5104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Fadel, Hossam Eldin can be contacted via phone (706) 724-2148.

Contact Information

Primary practice address
1348 Walton Way Suite 5500 Augusta GA 30901-5104
Phone: (706) 724-2148
Fax: (706) 724-1908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 017172 Georgia

Profile Details

NPI number 1558353193
LBN Legal business name Fadel, Hossam Eldin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Jul 8th, 2007 - about 17 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558353193 NPPES
Georgia MEDICAID 00014011B

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