Individual provider · NPI-1

Abdelrahman Farag Mohamed Abdelwahed, M.D.

Student in an Organized Health Care Education/Training Program · Greenville, NC

NPI number1366298432
StatusActive
Last updated in NPPESAug 1, 2024

Details

NPI
1366298432
Entity type
Individual (NPI-1)
Name
Abdelrahman Farag Mohamed Abdelwahed
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 29, 2024
Last updated
Aug 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training ProgramRTL24-0124NCYes
390200000X Student in an Organized Health Care Education/Training ProgramABDE-A9EXPPNC

Practice location

2100 Stantonsburg Road
Greenville, NC 27834

Phone 252-744-3229

Mailing address

2100 Stantonsburg Road
Greenville, NC 27834

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