IndividualActive
Fadlallah Habr, MD
NPI 1619924651 · Gastroenterology Physician · Riverside, RI
Provider details
- NPI number
- 1619924651
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD09914 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
375 Wampanoag Trl
Suite 202a
Riverside, RI 02915-2212
Phone: (401) 649-4030
Fax: (401) 649-4031
Approximate (ZIP-level) locationGet directions
Mailing address
17 Virginia Ave
Providence, RI 02905-4406
Registry dates
- Enumerated
- 2006-05-27
- Last updated
- 2016-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.