| Fella Medical Group Pa | |
|
2820 Ne 214th St Aventura FL 33180-1268 | |
| (415) 649-5531 | |
| Not Available |
| Full Name | Fella Medical Group Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2820 Ne 214th St, Aventura, Florida |
| Authorized Official Name and Position | Rafid Fadul (MD) |
| Authorized Official Contact | 4157073882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fella Medical Group Pa 2261 Market St # 4540 San Francisco CA 94114-1612 Ph: (415) 707-3882 | Fella Medical Group Pa 2820 Ne 214th St Aventura FL 33180-1268 Ph: (415) 649-5531 |
| NPI Number | 1114671096 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 06/20/2024 |
| Medicare PECOS PAC ID | 0941642979 |
|---|---|
| Medicare Enrollment ID | O20240522002918 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114671096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rafid A Fadul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619134780 PECOS PAC ID: 3072700418 Enrollment ID: I20240522003032 |
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