Khaled Ahmed Fawaz | New York, NY • PECOS Search

Khaled Ahmed Fawaz

General Acute Care Hospital

Hospitals

5 E 98th St # 1188, Box 1188, New York, NY 10029-6501

PECOS Enrollment

Based on the most recent information from CMS, provider Khaled Ahmed Fawaz does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1821547324
Provider Type
Individual
Full Name
Fawaz, Khaled Ahmed
Title
Dr.
Credential
M.D

Gender
Male
Sole Proprietor
Yes
Enumeration Date
9/25/2016
Last Updated
9/25/2016

Contact Information

Practice Location

5 E 98th St # 1188, Box 1188, New York, NY 10029-6501

Unlisted Fax

Mailing Location

5 E 98th St, Room 908, Box 1188, New York, NY 10029-6501

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 282N00000X Primary	Description General Acute Care Hospital Hospitals	License P03507 New York