Abdelhafez Fawzi Abdelhafez
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Winslow, AZ
NPI 1316747629 · NPPES record last updated Mar 17, 2025
Key facts
- NPI
- 1316747629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 500 Indiana Ave
Winslow, AZ 86047-2169 - Phone
- (928) 289-4646
- NPI assigned
- Mar 17, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
500 Indiana Ave
Winslow, AZ 86047-2169
Mailing address
2715 Gillmore St
East Elmhurst, NY 11369-1901
Phone (347) 548-7514
Other providers in Winslow, AZ
- Action Medical Service Inc.
- Aerocare Medical Transport
- Janna Agramonte Canelo
- Akdhc, LLC
- Elif Duysal Aksoylu
All providers in Winslow, AZ · Student in an Organized Health Care Education/Training Program in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.