Organization Active NPI

Fahoury, LLC

  • Family Medicine Physician
  • Toledo, OH
National Provider Identifier
1235328147
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35086663F Issued in OH
Legal business name
FAHOURY, LLC
Practice address
4411 N Holland Sylvania Rd
Suite 201
Toledo, OH 43623-3525
Phone
(419) 843-3627
Fax
(419) 843-9697
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rania Fahoury, M.D.
Title
Principal
Phone
(419) 843-3627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35086663F OH Primary

Addresses

Primary practice location

4411 N Holland Sylvania Rd
Suite 201
Toledo, OH 43623-3525

Mailing address

4411 N Holland Sylvania Rd
Suite 201
Toledo, OH 43623-3525
Phone (419) 843-3627

Other identifiers 1

IdentifierTypeStateIssuer
DF9076OtherOHRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1235328147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 N HOLLAND SYLVANIA RD",
            "address_2": "SUITE 201",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233525",
            "telephone_number": "419-843-3627",
            "fax_number": "419-843-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 N HOLLAND SYLVANIA RD",
            "address_2": "SUITE 201",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233525",
            "telephone_number": "419-843-3627",
            "fax_number": "419-843-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAHOURY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "FAHOURY",
        "authorized_official_first_name": "RANIA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "419-843-3627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35086663F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF9076",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.