NPI 1255990735 · live from the CMS NPI Registry
Raya Mazen Fathi Al Ghalayini, MD
Pediatrics in Medford, OR. National Provider Identifier 1255990735, active.
NPI record
| NPI | 1255990735 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 2825 E Barnett Rd, Medford, OR 97504 |
| Practice phone | 541-789-7000 |
| Mailing address | 2825 E Barnett Rd # Mss, Medford, OR 97504 |
| Enumerated | June 10, 2019 |
| Last updated | June 5, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Hospice and Palliative Medicine | 207RH0002X | 39581 (OK) |
| Student in an Organized Health Care Education/Training Program | 390200000X | 64121 |
| Pediatrics primary | 208000000X | MD214540 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.