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

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1265784359

Faysal Fedda, MD is a Pathology in Louisville, Kentucky. Qualified in 2010, 16 years ago. Practices with Southeastern Pathology Associates PC, a 44-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
16
Licensed in
KY
In the registry since
2012
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

550 S Jackson St
Louisville, KY 40202
Phone: (502) 852-1616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4301 W. Markham St., Little Rock, AR 72205 — (501) 686-5170

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 52661 (KY)

Record details

NPI number1265784359
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 12, 2012
Last updated in NPPESAugust 9, 2019

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Southeastern Pathology Associates Pc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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