Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Fadi Mansourati, MD

Individual provider Internal Medicine Physician · NPI 1548245962

Dr. Fadi Mansourati, MD is an Internal Medicine in Pawtucket, Rhode Island. Qualified in 1991, 35 years ago. Practices with Fairlawn Primary Care Inc, a 2-clinician group and offers telehealth. Licensed in Rhode Island.

Years since qualifying
35
Licensed in
RI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

886 Mineral Spring Ave
Pawtucket, RI 02860-3322
Phone: (401) 475-3063
Fax: (401) 475-0593
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD09843 (RI)

Record details

NPI number1548245962
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 8, 2005
Last updated in NPPESJune 7, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Fairlawn Primary Care Inc — 2 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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