Amr Abd-Al-Ghaffar, MD

Individual provider Active NPI Medical Oncology Physician · Wenatchee, WA

NPI 1114904323 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1114904323
Entity type
Individual (NPI type 1)
Primary specialty
Medical Oncology Physician 207RX0202X
License
MD051516L (PA)
Practice address
820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone
(509) 663-8711
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD051516LPAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skagit County Public Hospital District No 304 Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X MD051516L PA Yes

Addresses

Primary practice location

820 N Chelan Ave
Wenatchee, WA 98801-2028

Mailing address

528 Okanogan Ave
Wenatchee, WA 98801-2974
Phone (814) 838-9000

Other providers in Wenatchee, WA

All providers in Wenatchee, WA · Medical Oncology Physician in Washington

Sources for this page

Verify at the official NPI Registry.