Provider Demographics
NPI:1427436005
Name:ZERVOU, FAINARETI (MD)
Entity type:Individual
Prefix:
First Name:FAINARETI
Middle Name:
Last Name:ZERVOU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:593 EDDY ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4923
Mailing Address - Country:US
Mailing Address - Phone:401-444-5127
Mailing Address - Fax:
Practice Address - Street 1:317 E 34TH ST FL 8
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4910
Practice Address - Country:US
Practice Address - Phone:212-263-8134
Practice Address - Fax:212-263-8157
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-14
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY298733207RI0200X
RILP03337207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine