Individual
DR. FAHAD RIAZ ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-6489
(401) 444-6662
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-6489
(401) 444-6662
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD19821
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LP04918
—
RI
Enumeration date
05/19/2020
Last updated
05/30/2024
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