Fayrouz Fawzi Abu-Hamdan, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Milwaukee, WI
NPI 1154909489 · NPPES record last updated Apr 12, 2021
Key facts
- NPI
- 1154909489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 8701 W Watertown Plank Rd
Milwaukee, WI 53226-3548 - Phone
- (414) 955-4578
- NPI assigned
- Mar 30, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8859 | WI | MD | Pharmacist |
Interoperability endpoints
- fabuhamdanmedstudent352934@direct.froedtert.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
8701 W Watertown Plank Rd
Milwaukee, WI 53226-3548
Mailing address
8701 W Watertown Plank Rd
Milwaukee, WI 53226-3548
Phone (414) 955-4578
Other providers in Milwaukee, WI
- Absolute Care Corporation Inc
- Absolute Comfort Home Care LLC
- Absolute Pain Solutions, S.C.
- Maya Mazen Abu Ali
- Ibrahim Abu-Arqoub
- Zara Ann Abu-Hamdan
- Arwa Abu-Kamil
- Mohammad Ahmad Mohammad Abuassi
- Ashraf Abugroun
- Abas Abukar
All providers in Milwaukee, WI · Student in an Organized Health Care Education/Training Program in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.