# DR. EMMANUEL K. FAI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477883486
- **Gender:** Man
- **Credential:** PA-C, PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | C0004092 | MD | — |
| 363A00000X | Physician Assistant | PA2024-0084 | NM | Yes |
| 363AS0400X | Surgical Physician Assistant | CO4092 | MD | — |

## Other

- **Enumeration date:** 01/14/2010
- **Last updated:** 01/21/2025