Provider Demographics
NPI:1346898632
Name:WARFA, MOHAMED KHALIF OSMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMED KHALIF
Middle Name:OSMAN
Last Name:WARFA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DIAGNOSTIC RADIOLOGY, WAKE FOREST SCHOOL OF MEDICINE
Mailing Address - Street 2:1 MEDICAL BOULEVARD
Mailing Address - City:WINSTON-SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-0001
Mailing Address - Country:US
Mailing Address - Phone:336-716-2471
Mailing Address - Fax:
Practice Address - Street 1:DIAGNOSTIC RADIOLOGY, WAKE FOREST SCHOOL OF MEDICINE
Practice Address - Street 2:1 MEDICAL BOULEVARD
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-0001
Practice Address - Country:US
Practice Address - Phone:743-333-1451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-29
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2507162085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology