Mansourati, Fadi
Mansourati, Fadi is an sole proprietor health care provider with primary practice located at 886 Mineral Spring Ave , Pawtucket RI 02860-3322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mansourati, Fadi can be contacted via phone (401) 475-3063.Contact Information
Primary practice address
886 Mineral Spring Ave
Pawtucket RI 02860-3322
Phone: (401) 475-3063
Fax: (401) 475-0593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD09843 | Rhode Island |
Profile Details
| NPI number | 1548245962 |
|---|---|
| LBN Legal business name | Mansourati, Fadi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2005 |
| Last updated | Jun 7th, 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 | 1548245962 | NPPES |
| Rhode Island | MEDICAID | 7006714 |
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