Paul Fadakar

Pediatric Nephrology | Male

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Complete Profile:

Paul Fadakar basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Nephrology
Provider Name :	Paul Fadakar
Gender :	Male
Sole Proprietor :	Yes

Business Address:

Paul Fadakar address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	4401 Penn Ave Pittsburgh, PA, 15224-1334 United States
Phone Number :	412-692-5182

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1073803482
NPI Entity Type :	Individual
First Enrolment Date :	19 Apr, 2011
Last Updated On :	26 Sep, 2021

Medicare Participation:

Paul Fadakar participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3870868755
Medicare Enrollment ID :	I20211217000784
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Connecticut School Of Medicine
Graduation Year :	2011
Accepts Medicare?	Yes. Paul Fadakar accepts medicare insurance.

Group Practice Association:

Paul Fadakar is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Paul Fadakar is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Massachusetts General Physicians Organization Inc	2466365820	2938	67 Corporate Dr Suite 300 Portsmouth, NH - 038012847 Ph: 6036108079	Yes
Massachusetts General Physicians Organization Inc	2466365820	2938	55 Fruit St Boston, MA - 021142696 Ph: 6177240287	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Paul Fadakar are as mentioned. Primary taxonomy code for Paul Fadakar is 2080P0210X (Pediatrics Pediatric Nephrology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0210X	Pediatrics Pediatric Nephrology	Yes	MD460918	PA

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	55 Fruit St Boston, MA, 02114-2621 United States

Business Location:

Patients can refer following map for directions to Paul Fadakar practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.