DR. Fadi Mansourati, MD
NPI #1548245962 in Pawtucket, Rhode Island
Provider Information
- NPI Number
- 1548245962
- Entity Type
- Individual
- Name
- DR. Fadi Mansourati, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Internal Medicine
- Credential
- MD
- Enumeration Date
- Dec 8, 2005
- Last Updated
- Jun 7, 2012
Practice Location
- Address
- 886 MINERAL SPRING AVE
- City
- Pawtucket
- State
- Rhode Island
- ZIP Code
- 02860-3322
- Phone
- (401) 475-3063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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