Basic Information
| Provider Information | |||||||||
| NPI: | 1497958649 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NUWAYHID | ||||||||
| FirstName: | ZAHER | ||||||||
| MiddleName: | I | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2376 CYPRESS CIRCLE | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | CONWAY | ||||||||
| State: | SC | ||||||||
| PostalCode: | 29526 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8433473900 | ||||||||
| FaxNumber: | 8433473930 | ||||||||
| Practice Location | |||||||||
| Address1: | 2376 CYPRESS CIRCLE | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | CONWAY | ||||||||
| State: | SC | ||||||||
| PostalCode: | 29526 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8433473900 | ||||||||
| FaxNumber: | 8433473930 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2007 | ||||||||
| LastUpdateDate: | 11/21/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 17379 | FL | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 51524 | SC | Y | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | 004002800 | 05 | FL | MEDICAID |