El Deiry, Wafik

El Deiry, Wafik is an individual health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. El Deiry, Wafik can be contacted via phone (401) 444-5435.

Contact Information

Primary practice address
593 Eddy St Providence RI 02903-4923
Phone: (401) 444-5435
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X MD054226L Pennsylvania
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD054226L Pennsylvania
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD16548 Rhode Island

Profile Details

NPI number 1275575714
LBN Legal business name El Deiry, Wafik
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Jun 7th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275575714 NPPES
Pennsylvania MEDICAID 0014975600001

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