Fanous, Medhat Youssef Zakher

Fanous, Medhat Youssef Zakher is an individual health care provider with primary practice located at 1500 W Ice Lake Rd , Iron River MI 49935-8509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fanous, Medhat Youssef Zakher can be contacted via phone (906) 265-9001.

Contact Information

Primary practice address
1500 W Ice Lake Rd Iron River MI 49935-8509
Phone: (906) 265-9001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301091790 Michigan

Profile Details

NPI number 1134394661
LBN Legal business name Fanous, Medhat Youssef Zakher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2008
Last updated Jun 4th, 2015 - about 9 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 1134394661 NPPES
Michigan MEDICAID 1134394661

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