Kandah, Fadi

Kandah, Fadi is an individual health care provider with primary practice located at 100 Whetstone Pl Ste 102 , Saint Augustine FL 32086-5775. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Kandah, Fadi can be contacted via phone (904) 342-8300.

Contact Information

Primary practice address
100 Whetstone Pl Ste 102 Saint Augustine FL 32086-5775
Phone: (904) 342-8300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X OS22197 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X UO6500 Florida

Profile Details

NPI number 1770043259
LBN Legal business name Kandah, Fadi
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2019
Last updated Sep 17th, 2025 - about last year

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 1770043259 NPPES
Florida MEDICAID 127955400

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