Provider Demographics
NPI:1821547225
Name:ABUGUYAN, FAHAD IBRAHIM (MBBS, FRCPC)
Entity Type:Individual
Prefix:DR
First Name:FAHAD
Middle Name:IBRAHIM
Last Name:ABUGUYAN
Suffix:
Gender:M
Credentials:MBBS, FRCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 L ST NW
Mailing Address - Street 2:SUITE 450
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1527
Mailing Address - Country:US
Mailing Address - Phone:202-741-3373
Mailing Address - Fax:
Practice Address - Street 1:2120 L ST NW
Practice Address - Street 2:SUITE 450
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1527
Practice Address - Country:US
Practice Address - Phone:202-741-3373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-26
Last Update Date:2016-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101261247207P00000X
DCMD044583207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine