Riad K. Mortada, Md, Pc

LBN: Riad K. Mortada, Md, Pc
Riad K. Mortada, Md, Pc is an health care organization with primary practice located at 420 Main St Ste # 14, Walpole MA 02081-3753. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Riad K. Mortada, Md, Pc can be contacted via phone (508) 660-2241, or through Mordata, Riad K via phone (508) 660-2241.

Contact Information

Primary practice address
420 Main St Ste # 14 Walpole MA 02081-3753
Fax: (508) 660-2914
Website:
Authorized official contact:
Name: Mordata, Riad K Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1629144407
LBN Legal business name Riad K. Mortada, Md, Pc
DBA Doing business as
Authorized official Mordata, Riad K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 25th, 2006
Last updated Apr 20th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629144407 NPPES
Massachusetts Other 645173 TUFTS HEALTH PLAN
Massachusetts Other M17091 TUFTS HEALTH PLAN
Massachusetts MEDICAID 9784691 TUFTS HEALTH PLAN
Massachusetts Other RR34 TUFTS HEALTH PLAN
Massachusetts Other 04-02110 TUFTS HEALTH PLAN

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