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MAMDOUH RIAD MD PC NPI 1639279342


NPI Information

NPI: 1639279342
Provider Name: MAMDOUH RIAD MD PC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 22D0976486

Address:
700 ATTUCKS LN
HYANNIS, MA
ZIP 02601
Phone: (508) 790-4568
Get Directions

MAMDOUH RIAD MD PC is a specialist in Hyannis, MA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MAMDOUH RIAD MD PC NPI is 1639279342. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

700 ATTUCKS LN
HYANNIS, MA
ZIP 02601-809
Phone: (508) 790-4568
Fax: (508) 865-1109

The provider's authorized official is Mamdouh Riad .
The authorized official title is Owner and has the following contact phone number (508) 790-4568.

The CLIA number assigned to this NPI record is 22D0976486 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2006 and was last updated on 2/26/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist76855MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F42833MEDICARE UPINMASSACHUSETTS
29702181MEDICAIDMASSACHUSETTS
30003937MEDICARE PINMASSACHUSETTS
4M17540OTHERMASSACHUSETTSBLUE SHIELD

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.