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Contact Information

ELIE FAHED, MD
6501 E 2ND ST
CASPER, WY82609-4293
 Phone: 307-235-5433
 Fax: 307-233-4700
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ELIE FAHED · (Male)

NPI # 1356492482
Status Active
Credentials MD
Entity Individual
Enumeration date 01/16/2007
Last updated 03/09/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 229811
  • WY License # 8989A
  • WY Medicaid 1356492482
Hospital affiliation(s)
  • MEMORIAL HOSPITAL OF CARBON COUNTY - (Critical Access)
    2221 WEST ELM STREET
    RAWLINS, WY 82301
  • MEMORIAL HOSPITAL OF CONVERSE COUNTY - (Critical Access)
    111 SOUTH 5TH STREET
    DOUGLAS, WY 82633
  • WYOMING MEDICAL CENTER - (Acute Care)
    1233 EAST 2ND ST
    CASPER, WY 82601
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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