Wissam Fayad Md Pc

LBN: Wissam Fayad Md Pc
Wissam Fayad Md Pc is an health care organization with primary practice located at 1841 W 25Th St Suite A, Yuma AZ 85364-6920. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Wissam Fayad Md Pc can be contacted via phone (928) 344-5565, or through Fayad, Wissam A via phone (928) 344-5565.

Contact Information

Primary practice address
1841 W 25Th St Suite A Yuma AZ 85364-6920
Phone: (928) 344-5565
Fax: (928) 344-5655
Website:
Map and Directions
Authorized official contact:
Name: Fayad, Wissam A Doctor of Medicine (MD)
Phone: (928) 344-5565

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 35717 Arizona

Profile Details

NPI number 1396058954
LBN Legal business name Wissam Fayad Md Pc
DBA Doing business as Wissam Fayad Md Pc
Authorized official Fayad, Wissam A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2010
Last updated Jul 23rd, 2010 - about 15 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 1396058954 NPPES
Arizona MEDICAID 127146-003

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