National Provider Identifier
Moad Radaideh, MD
Moad Radaideh, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 723-7746.
Profile Overview
- NPI
- 1457872046
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- July 05, 2017
- Last Updated
- July 21, 2022
Practice Location
- 1555 Long Pond RD
- Rochester, NY 14626-4122
Phone: (585) 723-7746
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1457872046
- Entity Type
- Individual
- Last Name
- Radaideh
- First Name
- Moad
- Credential
- MD
- Mailing Street Address
- 1555 Long Pond RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4122
- Mailing Country
- US
- Mailing Phone
- (585) 723-7746
- Mailing Fax
- (585) 723-7834
- Practice Street Address
- 1555 Long Pond RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4122
- Practice Country
- US
- Practice Phone
- (585) 723-7746
- Practice Fax
- (585) 723-7834
- Enumeration Date
- July 05, 2017
- Last Updated
- July 21, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 04, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)