MAHMOUD F FATHALLA MD
NPI 1316028202
Family Medicine in Norwich, NY

Active since October 18, 2006
179 N BROAD ST, NORWICH, NY 13815(607) 337-4271(607) 337-4049 Get Directions Write a Review

NPPES record last updated: July 24, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mahmoud F Fathalla Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAHMOUD F FATHALLA MD (NPI 1316028202) is an individual family medicine provider in Norwich, New York, licensed in New York (200069) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1316028202
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMAHMOUD F FATHALLACredential: MD
Location Address179 N BROAD STNorwich, NY 13815-1019
Mailing Address179 N Broad StNorwich, NY 13815-1019 · (607) 337-4271 · Fax (607) 337-4049
Fax(607) 337-4049
Sole ProprietorNo
Enumeration DateOctober 18, 2006
Last NPPES UpdateJuly 24, 2013
NPI 1316028202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 200069
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

179 N BROAD ST, Norwich, NY 13815

Other Identifiers 3

Medicare UPING16506NY
Medicare ID-Type UnspecifiedRA9943NY
Medicaid01593622NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
179 N BROAD ST
NORWICH, NY 13815
Nurse Practitioner (Family)
179 N BROAD ST
NORWICH, NY 13815
Skilled Nursing Facility
179 N BROAD ST
NORWICH, NY 13815
Obstetrics & Gynecology
179 N BROAD ST
NORWICH, NY 13815
Dietitian, Registered
179 N BROAD ST
NORWICH, NY 13815
Anesthesiology
179 N BROAD ST, CHENANGO MEMORIAL HOSPITAL
NORWICH, NY 13815
Physician Assistant
179 N BROAD ST
NORWICH, NY 13815
Physician Assistant
179 N BROAD ST
NORWICH, NY 13815

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mahmoud Fathalla's NPI number?

The NPI number for Mahmoud Fathalla is 1316028202. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Mahmoud Fathalla located?

Mahmoud Fathalla practices at 179 N Broad St, Norwich, NY 13815. The listed phone number is (607) 337-4271.

What is Mahmoud Fathalla's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mahmoud Fathalla was last updated on July 24, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.