Organization
WISSAM FAYAD M.D. PC
Active
Organization
WISSAM FAYAD M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WISSAM A FAYAD M.D. (OWNER)
(928) 344-5565
Entity
Organization
Contact information
Practice address
1841 W 25TH ST, SUITE A, YUMA, AZ 85364-6920
(928) 344-5565
(928) 344-5655
Mailing address
1841 W 25TH ST, SUITE A, YUMA, AZ 85364-6920
(928) 344-5565
(928) 344-5655
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35717
AZ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127246
—
AZ
01
—
Z138627
MEDICARE PTAN
AZ
Enumeration date
07/22/2010
Last updated
02/24/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up