Individual
FAUZIA WALI-KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
63 EDDIE DOWLING HWY STE 9, NORTH SMITHFIELD, RI 02896-7322
(401) 414-3485
(401) 414-3486
Mailing address
61 LINCOLN ST STE 203, FRAMINGHAM, MA 01702-8264
(713) 893-6214
(401) 414-3486
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
219392
MA
2084P0800X
Psychiatry Physician
Primary
MD16933
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110035934A
—
MA
05
—
2034191
—
MA
Enumeration date
09/22/2005
Last updated
03/11/2020
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