Individual
FADI A AL-KHAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28 PROFFESSIONAL PARK RD, STORRS, CT 06268-1659
(860) 487-9102
(860) 487-9912
Mailing address
28 PROFFESSIONAL PARK RD, STORRS, CT 06268-1659
(860) 487-9102
(860) 487-9912
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
039975
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001399759
—
CT
01
—
P00122064
RAILROAD MEDICARE
—
Enumeration date
12/09/2005
Last updated
12/28/2012
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