Provider Demographics
NPI:1285687160
Name:HAMED H & FERIAL A TEWFIK
Entity Type:Organization
Organization Name:HAMED H & FERIAL A TEWFIK
Other - Org Name:IOWA CITY CANCER TREATMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:L
Authorized Official - Last Name:STUART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-243-7030
Mailing Address - Street 1:3010 NORTHGATE DR
Mailing Address - Street 2:
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:
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0127944Medicaid
IA02808Medicare PIN