Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | FA9630511 | NC |
NPI | 1487268512 |
---|---|
Provider Name | Fawaz Abdulaziz M Alenezi |
First Address | Durham, NC 27705-4331 |
Second Address | Durham, NC 27705-4699 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2020 |
Last Update Date | 05/09/2020 |