# FELLA MEDICAL GROUP PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114671096
- **Authorized official:** RAFID FADUL MD (MD)
- **Authorized official phone:** (415) 707-3882

## Contact information

- **Practice address:** 2820 NE 214TH ST, AVENTURA, FL 33180-1268
- **Practice address phone:** (415) 649-5531
- **Mailing address:** 2261 MARKET ST \# 4540, SAN FRANCISCO, CA 94114-1612
- **Mailing address phone:** (415) 707-3882
- **Mailing address fax:** (415) 949-2758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2022
- **Last updated:** 06/20/2024