Provider Demographics
NPI:1952459802
Name:HENDEE, FADI (MD)
Entity Type:Individual
Prefix:
First Name:FADI
Middle Name:
Last Name:HENDEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1664 N. VIRGINIA STREET
Mailing Address - Street 2:RM #234F, MAIL STOP 1332
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89557
Mailing Address - Country:US
Mailing Address - Phone:775-784-4474
Mailing Address - Fax:775-784-4468
Practice Address - Street 1:1664 N. VIRGINIA STREET
Practice Address - Street 2:MAIL STOP - 153
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89557
Practice Address - Country:US
Practice Address - Phone:775-784-4474
Practice Address - Fax:775-784-4468
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV17048207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism