Al-Fadhli, Fahad

Al-Fadhli, Fahad is an individual health care provider with primary practice located at 109 Sycamore Rdg , Madison MS 39110-7333. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Al-Fadhli, Fahad can be contacted via phone (601) 954-4476.

Contact Information

Primary practice address
109 Sycamore Rdg Madison MS 39110-7333
Phone: (601) 954-4476
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Mississippi
Dental Providers / General Practice 1223G0001X 4071-19 Mississippi

Profile Details

NPI number 1669963518
LBN Legal business name Al-Fadhli, Fahad
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2018
Last updated Sep 9th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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