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22D0998138 CLIA NUMBER - HANY MISTIKAWY MD

Laboratory Demographics

CLIA Number: 22D0998138

Facility Name: HANY MISTIKAWY MD

Facility Address:
289 PLEASANT STREET SUITE 404
FALL RIVER, MA
ZIP 02721
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Facility Phone Number: 508 679-2265

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1851399034

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 22D0998138
LAB Type Physician Office
Facility Name HANY MISTIKAWY MD
Street 289 PLEASANT STREET SUITE 404
City FALL RIVER
State MA
ZIP 02721
Phone 508 679-2265
CertificateType 4
CertificateEffectiveDate 4/8/2024
CertificateExpirationDate 4/7/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024