Provider Demographics
NPI:1023782315
Name:FARAWI, DANIA MAHMOUD (PA-C)
Entity type:Individual
Prefix:MS
First Name:DANIA
Middle Name:MAHMOUD
Last Name:FARAWI
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:5301 ANTEBELLUM RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-4062
Mailing Address - Country:US
Mailing Address - Phone:919-455-7253
Mailing Address - Fax:
Practice Address - Street 1:40 AUTUMN FERN TRL
Practice Address - Street 2:
Practice Address - City:LILLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27546-5155
Practice Address - Country:US
Practice Address - Phone:910-364-0970
Practice Address - Fax:910-814-4062
Is Sole Proprietor?:No
Enumeration Date:2021-08-02
Last Update Date:2024-02-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-11383363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant