Hammoud, Fadi Mohamad

Hammoud, Fadi Mohamad is an individual health care provider with primary practice located at 2 Trap Falls Rd Ste 101 , Shelton CT 06484. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is his primary health care specialty. Hammoud, Fadi Mohamad can be contacted via phone (203) 405-2591.

Contact Information

Primary practice address
2 Trap Falls Rd Ste 101 Shelton CT 06484
Phone: (203) 405-2591
Fax: (203) 285-3157
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 043900 Connecticut
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 043900 Connecticut

Profile Details

NPI number 1518038454
LBN Legal business name Hammoud, Fadi Mohamad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 15th, 2018 - about 7 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 1518038454 NPPES
Connecticut MEDICAID 001439000

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