Provider Demographics
NPI:1780205435
Name:FADEL, REMY (MD)
Entity Type:Individual
Prefix:DR
First Name:REMY
Middle Name:
Last Name:FADEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:REMY
Other - Middle Name:
Other - Last Name:FADEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1161 21ST AVE S # MCNS3307
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-2372
Mailing Address - Country:US
Mailing Address - Phone:615-343-6105
Mailing Address - Fax:
Practice Address - Street 1:1161 21ST AVE S # MCNS3307
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-2372
Practice Address - Country:US
Practice Address - Phone:615-343-6105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-05
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program