Mamdouh Riad Md Pc

LBN: Mamdouh Riad Md Pc
Mamdouh Riad Md Pc is an health care organization with primary practice located at 100 Independence Dr Ste 3 , Hyannis MA 02601-1898. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Laboratories / Clinical Medical Laboratory. Other Service Providers / Specialist is the primary health care specialty. Mamdouh Riad Md Pc can be contacted via phone (508) 790-4568, or through Goldsmith, Ashley via phone (402) 202-5823.

Contact Information

Primary practice address
100 Independence Dr Ste 3 Hyannis MA 02601-1898
Phone: (508) 790-4568
Fax: (508) 790-1800
Website:
Map and Directions
Authorized official contact:
Name: Goldsmith, Ashley
Phone: (402) 202-5823

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 76855 Massachusetts
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1639279342
LBN Legal business name Mamdouh Riad Md Pc
DBA Doing business as
Authorized official Goldsmith, Ashley
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2006
Last updated Aug 10th, 2026 - about 2 months 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 1639279342 NPPES
Massachusetts MEDICAID 110000226B

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