Provider Demographics
NPI:1427924166
Name:FALCON MEDICAL CO LLC
Entity type:Organization
Organization Name:FALCON MEDICAL CO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HAITEM
Authorized Official - Middle Name:
Authorized Official - Last Name:MUAFA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:833-325-6379
Mailing Address - Street 1:1338 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4559
Mailing Address - Country:US
Mailing Address - Phone:833-325-6379
Mailing Address - Fax:
Practice Address - Street 1:1338 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-4559
Practice Address - Country:US
Practice Address - Phone:833-325-6379
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty