IndividualActive
Mikael Fadoul, MD
NPI 1053974824 · Vascular Surgery Physician · Newark, DE
Provider details
- NPI number
- 1053974824
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- C1-0027330 (DE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4755 Ogletown Stanton Rd Ste 1e20
Newark, DE 19718-2200
Phone: (302) 733-5700
Fax: (302) 733-5775
Approximate (ZIP-level) locationGet directions
Mailing address
4755 Ogletown Stanton Rd Ste 1e20
Newark, DE 19718-2200
Registry dates
- Enumerated
- 2019-04-17
- Last updated
- 2024-08-27
- Certified
- 2024-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.