Mohamed, Fazil A

Mohamed, Fazil A is an individual health care provider with primary practice located at 1721 Allens Ln Suite 102, Wilmington NC 28403-3661. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Mohamed, Fazil A can be contacted via phone (910) 239-5902.

Contact Information

Primary practice address
1721 Allens Ln Suite 102 Wilmington NC 28403-3661
Phone: (910) 239-5902
Fax: (910) 239-5908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 201001263 North Dakota

Profile Details

NPI number 1841263852
LBN Legal business name Mohamed, Fazil A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Nov 3rd, 2014 - about 10 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 1841263852 NPPES
South Carolina MEDICAID 266429

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