Tarek Ajami Fardoun, MD | |
3290 Dauphin St Ste 301, Mobile, AL 36606-4052 | |
(251) 660-5930 | |
(251) 660-5931 |
Full Name | Tarek Ajami Fardoun |
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Gender | Male |
Speciality | Urology |
Location | 3290 Dauphin St Ste 301, Mobile, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831802792 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MFC1876 (Florida) | Primary |
Entity Name | University Of Miami |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013967827 PECOS PAC ID: 3274795109 Enrollment ID: O20200406001006 |
Mailing Address | Practice Location Address |
---|---|
Tarek Ajami Fardoun, MD Po Box 746450, Atlanta, GA 30374-6450 Ph: (866) 401-3057 | Tarek Ajami Fardoun, MD 3290 Dauphin St Ste 301, Mobile, AL 36606-4052 Ph: (251) 660-5930 |
Zachary David Reardon, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 168 Mobile Infirmary Blvd, Mobile, AL 36607 Phone: 251-433-1895 | |
Selden Harbour Stephens Iii, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 168 Mobile Infirmary Blvd, Mobile, AL 36607 Phone: 251-433-1895 Fax: 251-433-1917 | |
Mariarita Salvitti Fermin, MD Urology Medicare: Medicare Enrolled Practice Location: 1601 Center St, Mobile, AL 36604 Phone: 251-410-5437 Fax: 251-410-5437 | |
Dr. Thomas W Coleman, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 6701 Airport Blvd, Ste B111, Mobile, AL 36608 Phone: 251-378-3000 Fax: 251-378-3001 | |
Dino Nicholas Frangos, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 168 Mobile Infirmary Blvd, Mobile, AL 36607 Phone: 251-433-1895 Fax: 251-433-1917 | |
Guy Coleman Oswalt Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 168 Mobile Infirmary Blvd, Mobile, AL 36607 Phone: 251-433-1895 Fax: 251-433-1917 | |
Paul Anthony Scott Sr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 168 Mobile Infirmary Blvd, Mobile, AL 36607 Phone: 251-433-1895 Fax: 251-433-1917 |