Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FADEL AHMED BOFARRAG, MD, MPH
ActiveFADEL AHMED BOFARRAG, MD, MPH is a Cardiovascular Disease healthcare provider located in SPRINGFIELD, Illinois. NPI 1003291279 is currently active in the NPPES registry. Verify at CMS.
Cardiovascular Disease · SPRINGFIELD, IL
Registration Details
- NPI Number
- 1003291279
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 29, 2015 (11.005836609834 yrs)
- Last Updated
- Jun 6, 2024
- Licenses
-
2015014044 (MO)276951 (MA)276951 (MA)036.170263 (IL)
Practice Information
- Address
-
701 N 1ST ST STE D434SPRINGFIELD, IL, 627023757Browse IL providers · Browse ZIP 62702
- Phone
- 2175458000
- Fax
- 2175457063
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Hospitalist
- Additional Specialty
- Cardiovascular Disease
Other Cardiovascular Disease Providers in SPRINGFIELD, IL
| Name | Credential | NPI |
|---|---|---|
| STUART FRANK | M.D. | 1912995754 |
| MR. JOHN M PARGULSKI | D.O. | 1629051958 |
| MICHAEL HYUN-OOK KIM | MD | 1033182795 |
| MICHAL KOLDA | M.D. | 1104832997 |
| DR. VASKAR MUKERJI | M.D. | 1871686030 |
| DR. JOHN E. NESTER | M.D. | 1386737435 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.