Mansourati, Fadi

Mansourati, Fadi is an sole proprietor health care provider with primary practice located at 886 Mineral Spring Ave , Pawtucket RI 02860-3322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mansourati, Fadi can be contacted via phone (401) 475-3063.

Contact Information

Primary practice address
886 Mineral Spring Ave Pawtucket RI 02860-3322
Phone: (401) 475-3063
Fax: (401) 475-0593
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD09843 Rhode Island

Profile Details

NPI number 1548245962
LBN Legal business name Mansourati, Fadi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2005
Last updated Jun 7th, 2012 - about 14 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 1548245962 NPPES
Rhode Island MEDICAID 7006714

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