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Contact Information

ABDULLAH A FAYYAD, MD
W3985 COUNTY ROAD NN
ELKHORN, WI53121-4337
 Phone: 262-741-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for ABDULLAH A FAYYAD · (Male)

NPI Number 1568466019
Status Active
Credentials MD
Entity Individual
Enumeration date 06/10/2005
Last updated 07/22/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 35432
  • IA Medicaid 0447086
Hospital affiliation(s)
  • APPLETON MED CTR - (Acute Care)
    1818 N MEADE ST
    APPLETON, WI 54911
  • NEW LONDON FAMILY MED CTR - (Critical Access)
    1405 MILL ST
    NEW LONDON, WI 54961
  • THEDA CLARK MED CTR - (Acute Care)
    130 2ND ST
    NEENAH, WI 54956
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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