Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 22194 | NY |
NPI | 1407842883 |
---|---|
Provider Name | Ahmed Fahmy |
First Address | New York, NY 10016-4972 |
Second Address | New York, NY 10016-4972 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02555493 | (05) | NY |
I05429 | (02) | NY |