Habr, Fadlallah G

Habr, Fadlallah G is an individual health care provider with primary practice located at 375 Wampanoag Trl Suite 202A, Riverside RI 02915-2212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Habr, Fadlallah G can be contacted via phone (401) 649-4030.

Contact Information

Primary practice address
375 Wampanoag Trl Suite 202A Riverside RI 02915-2212
Fax: (401) 649-4031
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD09914 Rhode Island

Profile Details

NPI number 1619924651
LBN Legal business name Habr, Fadlallah G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jul 27th, 2016 - about 9 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 1619924651 NPPES
Rhode Island MEDICAID 9021243

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