Whalio Doctors

NPI 1003291279

Fadel Ahmed Bofarrag, MDMPH

Practitioner Cardiovascular Disease Physician Springfield, IL

Practice location

Address
701 N 1st St STE D434, Springfield, IL 62702-3757
Phone
(217) 545-8000
Fax
(217) 545-7063
Mailing address
PO Box 19636, Springfield, IL 62794-9636

Registered specialties (4)

Cardiovascular Disease Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207RC0000X Licence 036.170263 (IL)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 2015014044 (MO)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 276951 (MA)
Hospitalist Physician
Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence 276951 (MA)

Registry record

NPI
1003291279
Entity type
Individual
Sex (as registered)
Male
NPI issued
29 Jul 2015
Record last updated
6 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.