Active NPIIndividual provider

Paul K Fadakar, MD

Pediatrics, Pediatric Nephrology in Boston, Massachusetts

NPI Number1073803482
Practice location
55 Fruit St, Boston, MA 02114-2621
Fax
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Last updated
August 6, 2025

Paul K Fadakar is a Pediatrics, Pediatric Nephrology based in Boston, MA. Paul K Fadakar practices in Boston, MA and has the professional credentials of MD. The NPI Number for Paul K Fadakar is 1073803482 and holds a License No. 290031 (MA). The current practice location address for Paul K Fadakar is 55 Fruit St, Boston, MA 02114-2621 and can be reached out via phone at 617-726-2908.

Provider Profile Details

NPI Number
1073803482
Provider Name
Paul K Fadakar
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Fruit St, Boston, MA 02114-2621
Phone Number
617-726-2908
Primary Taxonomy
Pediatrics, Pediatric Nephrology · 2080P0210X
Sole Proprietor
No
Provider Enumeration Date
April 19, 2011
Last Update Date
August 6, 2025
Certification Date
August 6, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Fruit St
Boston, MA 02114-2621
City
Boston
Zip
02114-2621
Phone Number
617-726-2908
Boston, MA 02114Get directions →

Provider Business Mailing Address Details

Address
55 Fruit St
Boston, MA 02114-2621
City
Boston
State
MA
Zip
02114-2621

License Information

License Number
290031
License State
MA
Taxonomy
Pediatrics, Pediatric Nephrology · 2080P0210X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Paul K Fadakar, MD?

The NPI number of Paul K Fadakar, MD is 1073803482. It was assigned on April 19, 2011 and is currently active in the NPPES registry.

What is the specialty of Paul K Fadakar, MD?

Paul K Fadakar, MD is registered under the primary taxonomy Pediatrics, Pediatric Nephrology (code 2080P0210X), licensed in MA under license number 290031.

Where does Paul K Fadakar, MD practice?

The practice location is 55 Fruit St, Boston, MA 02114-2621. The office can be reached at 617-726-2908 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073803482 directly on the NPPES registry website.

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