Jadali, Fayegh
Jadali, Fayegh is an individual health care provider with primary practice located at 2961 Crouse Lane Ste A , Burlington NC 27215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Jadali, Fayegh can be contacted via phone (336) 586-9799.Contact Information
Primary practice address
2961 Crouse Lane Ste A
Burlington NC 27215
Phone: (336) 586-9799
Fax: (336) 589-9760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 9700604 | North Carolina |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 9700604 | North Carolina |
Profile Details
| NPI number | 1427144104 |
|---|---|
| LBN Legal business name | Jadali, Fayegh |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jun 5th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427144104 | NPPES |
| North Carolina | MEDICAID | 891042X | |
| North Carolina | Other | 1042X | |
| North Carolina | Other | 0403383 |
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