Individual provider · Type 1 NPI

Fadel Ahmed Bofarrag, MD, MPH

Cardiovascular Disease Physician · Springfield, IL

NPI number 1003291279 Active

Practice location

701 N 1st St Ste D434
Springfield, IL 62702-3757

Call (217) 545-8000 Map

Fax (217) 545-7063

Mailing address

PO Box 19636
Springfield, IL 62794-9636

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X2015014044 (MO)
Internal Medicine Physician 207R00000X276951 (MA)
Hospitalist Physician 208M00000X276951 (MA)
Cardiovascular Disease Physician Primary 207RC0000X036.170263 (IL)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1003291279

Fadel Ahmed Bofarrag, MD, MPH's National Provider Identifier is 1003291279, issued on Jul 29, 2015. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Springfield, IL. The record was last updated on Jun 6, 2024.