Provider Demographics
NPI:1003196700
Name:SMILEY, FADI RADA (PHARMD, MPH, NBC-HWC)
Entity Type:Individual
Prefix:DR
First Name:FADI
Middle Name:RADA
Last Name:SMILEY
Suffix:
Gender:M
Credentials:PHARMD, MPH, NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5139 VININGS BLVD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-7142
Mailing Address - Country:US
Mailing Address - Phone:614-915-2350
Mailing Address - Fax:
Practice Address - Street 1:5139 VININGS BLVD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-7142
Practice Address - Country:US
Practice Address - Phone:614-915-2350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03127510183500000X
A-3139356
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No183500000XPharmacy Service ProvidersPharmacist