Al-Fanek, Yazan

Al-Fanek, Yazan is an sole proprietor health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4923. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Al-Fanek, Yazan can be contacted via phone (501) 366-4918.

Contact Information

Primary practice address
593 Eddy St Providence RI 02903-4923
Phone: (501) 366-4918
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD17939 Rhode Island

Profile Details

NPI number 1598261422
LBN Legal business name Al-Fanek, Yazan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2018
Last updated Sep 24th, 2021 - about 5 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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