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Individual
RIAD K MORTADA
Active
Individual
RIAD K MORTADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52762
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-02110
UNITED HEALTHCARE
MA
01
—
052762
TUFTS HEALTH PLAN
MA
01
—
110182870
RAIL ROAD MEDICARE
MA
01
—
18750
NEIGHBORHOOD HEALTH
MA
05
—
3140067
—
MA
01
—
40619
FALLON HEALTH
MA
01
—
68670
HARVARD PILGRIM HEALTH
MA
01
—
J15997
BCBS
MA
Enumeration date
12/02/2006
Last updated
01/05/2017
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