Provider Profile

Ebtisam Faddoul, PA-C

Unclaimed Profile

About Ebtisam Faddoul

Listed in the NPI registry as a physician assistant, Ebtisam Faddoul, PA-C practices in Stamford, CT. Ebtisam graduated from Mercy College in 2011. NPI 1114294055 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

Specialty

Credentials & Licensing

NY licenceAs reported to the NPI registry
No. 015255-1As reported
NPINational Provider Identifier
1114294055Issued 2011

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Ebtisam Faddoul?

Ebtisam Faddoul is a physician assistant in Stamford, CT. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Ebtisam Faddoul's address?

Ebtisam Faddoul is listed at 29 Hospital Plz Ste 501, Stamford, CT 06902. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Ebtisam Faddoul?

The number on file is (203) 276-4400. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Ebtisam Faddoul?

Ebtisam Faddoul's National Provider Identifier is 1114294055. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Ebtisam Faddoul train?

Ebtisam Faddoul attended Mercy College, graduating in 2011. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Ebtisam Faddoul have?

Ebtisam Faddoul has 15 years experience. Calculated from a graduation year of 2011, reported in the CMS National Downloadable File.

CMS public data

Is Ebtisam Faddoul's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Ebtisam Faddoul. If this is you, claiming it is free.

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