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Individual

MOHAMMED FAIZAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
593 EDDY ST, HASBRO 122, PROVIDENCE, RI 02903-4923
(401) 444-6195
(401) 444-6378
Mailing address
593 EDDY ST, HASBRO 122, PROVIDENCE, RI 02903-4923
(401) 444-6195
(401) 444-6378

Taxonomy

Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
10821
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MF45698
RI
Enumeration date
07/05/2005
Last updated
07/08/2007
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