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Individual

DR. FADI ALQAISI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 GOETHALS DRIVE, KADLEC INLAND CARDIOLOGY, RICHLAND, WA 99352
(509) 946-2699
(509) 946-2675
Mailing address
1100 GOETHALS DR, RICHLAND, WA 99352-3300
(509) 942-3627
(509) 627-2983

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301081955
MI
207RC0000X
Cardiovascular Disease Physician
MD60218217
WA
207RI0011X
Interventional Cardiology Physician
Primary
MD60218217
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0311928
L&I
WA
05
1720297443
WA
Enumeration date
05/21/2007
Last updated
04/05/2021
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