Fakhri Internal Medicine PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FAKHRI INTERNAL MEDICINE PA

Practice address

741B Tilghman Dr
Dunn, NC 28334-5507

Phone

(252) 258-3475

NPI assigned

Jul 11, 2019

Last updated

Dec 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mouhamed Iyad Fakhri, MDNPI 1205835832

Title

Owner

Phone

(252) 258-3475

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mouhamed Iyad Fakhri, MD

  • Internal Medicine Physician
  • Dunn, NC
  • NPI 1205835832
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1376195230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741B TILGHMAN DR",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345507",
            "telephone_number": "252-258-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741B TILGHMAN DR",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345507",
            "telephone_number": "252-258-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAKHRI INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "FAKHRI",
        "authorized_official_first_name": "MOUHAMED",
        "authorized_official_middle_name": "IYAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-258-3475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Dunn, NC
• Providers in Dunn, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.