DR. FADY NABIL ELIAS M.D. NPI 1063650844

NPI Information

NPI: 1063650844
Provider Name: DR. FADY NABIL ELIAS, M.D.
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
720 PAULARINO AVE STE 100
COSTA MESA, CA
ZIP 92626
Phone: (631) 965-1286
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DR. Fady Nabil Elias, M.D. is a student in an organized health care education training program in Costa Mesa, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Fady Nabil Elias, M.D. NPI is 1063650844. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

720 PAULARINO AVE STE 100
COSTA MESA, CA
ZIP 92626-917
Phone: (631) 965-1286

The enumeration date for this NPI number is 2/2/2009 and was last updated on 12/2/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		A122000	CALIFORNIA	No
2	390200000X	Student in an Organized Health Care Education/Training Program		ELIAS1421	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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