Provider Demographics
NPI:1316069412
Name:FAYAD, RAMY ANIS (MD)
Entity type:Individual
Prefix:
First Name:RAMY
Middle Name:ANIS
Last Name:FAYAD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2109 HUGHES DR
Mailing Address - Street 2:ST 920
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-3856
Mailing Address - Country:US
Mailing Address - Phone:419-479-2650
Mailing Address - Fax:419-479-2655
Practice Address - Street 1:2109 HUGHES DR
Practice Address - Street 2:ST 920
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3856
Practice Address - Country:US
Practice Address - Phone:419-479-2650
Practice Address - Fax:419-479-2655
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2020-03-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35.091470207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIH96974Medicare UPIN