Provider Demographics
NPI:1053306761
Name:TEWFIK, FERIAL A (MD)
Entity Type:Individual
Prefix:DR
First Name:FERIAL
Middle Name:A
Last Name:TEWFIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3010 NORTHGATE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-9572
Mailing Address - Country:US
Mailing Address - Phone:319-354-8777
Mailing Address - Fax:319-354-9545
Practice Address - Street 1:3010 NORTHGATE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-9572
Practice Address - Country:US
Practice Address - Phone:319-354-8777
Practice Address - Fax:319-354-9545
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA240882085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1221416Medicaid
IAE75031Medicare UPIN
IA1221416Medicaid