Provider Demographics
NPI:1962847871
Name:DARWICHE, FADI A (MD)
Entity Type:Individual
Prefix:DR
First Name:FADI
Middle Name:A
Last Name:DARWICHE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3041 ORCHARD PARK RD STE C
Mailing Address - Street 2:ATT: CREDENTIALING
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-1238
Mailing Address - Country:US
Mailing Address - Phone:716-674-3104
Mailing Address - Fax:716-674-0666
Practice Address - Street 1:10175 NIAGARA FALLS BLVD
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-2941
Practice Address - Country:US
Practice Address - Phone:716-285-0853
Practice Address - Fax:716-322-3283
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2023-05-01
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Provider Licenses
StateLicense IDTaxonomies
NY13818297208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200645370AMedicaid
NY06541937Medicaid
KS201135310AMedicaid