Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fahima Hannoufa, PA

Individual provider Physician Assistant · NPI 1861257537

Fahima Hannoufa, PA is a Physician Assistant in Madison, West Virginia. Qualified in 2024, 2 years ago. Practices with Boone Memorial Hospital Inc, a 77-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

660-A S Main St Madison
Madison, WV 25130
Phone: (304) 369-4250
Fax: (304) 369-8808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Airport Rd, Kinston, NC 28501-1604 — (252) 522-7773

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1861257537
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 20, 2024
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Boone Memorial Hospital Inc — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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