Mortada, Riad K
Mortada, Riad K is an individual health care provider with primary practice located at 31 Pine Street Suite 300, Norfolk MA 02056. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mortada, Riad K can be contacted via phone (508) 623-3700.Contact Information
Primary practice address
31 Pine Street Suite 300
Norfolk MA 02056
Phone: (508) 623-3700
Fax: (508) 623-3701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 52762 | Massachusetts |
Profile Details
| NPI number | 1902974256 |
|---|---|
| LBN Legal business name | Mortada, Riad K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2006 |
| Last updated | Jan 5th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902974256 | NPPES |
| Massachusetts | Other | 40619 | FALLON HEALTH |
| Massachusetts | Other | 052762 | FALLON HEALTH |
| Massachusetts | MEDICAID | 3140067 | FALLON HEALTH |
| Massachusetts | Other | 04-02110 | FALLON HEALTH |
| Massachusetts | Other | 110182870 | FALLON HEALTH |
| Massachusetts | Other | J15997 | FALLON HEALTH |
| Massachusetts | Other | 18750 | FALLON HEALTH |
| Massachusetts | Other | 68670 | FALLON HEALTH |
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