Wanna, Fady S

Wanna, Fady S is an individual health care provider with primary practice located at 4300 W Main St Ste 21 , Dothan AL 36305-1058. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Wanna, Fady S can be contacted via phone (205) 620-7523.

Contact Information

Primary practice address
4300 W Main St Ste 21 Dothan AL 36305-1058
Phone: (205) 620-7523
Fax: (205) 620-8667
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 51616 Kentucky
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 43813 Georgia

Profile Details

NPI number 1861471096
LBN Legal business name Wanna, Fady S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Sep 10th, 2021 - about 4 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 1861471096 NPPES
Kentucky MEDICAID PENDING
Kentucky MEDICAID 000876895A
Kentucky Other 511I330005

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