Diab, Fadi Hasan
Diab, Fadi Hasan is an individual health care provider with primary practice located at 10141 Big Bend Rd Ste 206 , Riverview FL 33578-7422. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Diab, Fadi Hasan can be contacted via phone (813) 397-1274.Contact Information
Primary practice address
10141 Big Bend Rd Ste 206
Riverview FL 33578-7422
Phone: (813) 397-1274
Fax: (813) 605-6003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 0101253084 | Virginia |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036091094 | Illinois |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME117374 | Florida |
Profile Details
| NPI number | 1790112191 |
|---|---|
| LBN Legal business name | Diab, Fadi Hasan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2013 |
| Last updated | Mar 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790112191 | NPPES |
| Florida | MEDICAID | 024563000 | |
| Florida | MEDICAID | 1790112191 |
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