Individual provider · Type 1 NPI

Fayrouz Ali Hachicho

Gastroenterology Physician · Philadelphia, PA

NPI number 1972484517 Active

Practice location

111 S 11th St
Philadelphia, PA 19107-4870

Call (215) 955-6000 Map

Fax (215) 955-6000

Mailing address

1500 Locust St Apt 3214
Philadelphia, PA 19102-4321

Specialties and licenses

TaxonomyCodeLicense
Gastroenterology Physician Primary 207RG0100XLT001075 (PA)

Gastroenterology Physician: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

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About NPI 1972484517

Fayrouz Ali Hachicho's National Provider Identifier is 1972484517, issued on Sep 10, 2025. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 10, 2025.