Elrayess, Fadya
Elrayess, Fadya is an individual health care provider with primary practice located at 111 Brewster Street , Pawtucket RI 02860. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Elrayess, Fadya can be contacted via phone (401) 729-2206.Contact Information
Primary practice address
111 Brewster Street
Pawtucket RI 02860
Phone: (401) 729-2206
Fax: (401) 729-3495
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD10082 | Rhode Island |
Profile Details
| NPI number | 1285746925 |
|---|---|
| LBN Legal business name | Elrayess, Fadya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Mar 22nd, 2012 - about 12 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 | 1285746925 | NPPES |
| Rhode Island | Other | 001820702 | MEDICARE PTAN |
| Rhode Island | MEDICAID | 900451 | MEDICARE PTAN |
| Rhode Island | MEDICAID | 7007208 | MEDICARE PTAN |
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