MOHAMEDYAKUB A PUTHAWALA (NPI# 1508821364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508821364 |
| Entity Type | Individual |
| Full Name | MOHAMEDYAKUB A PUTHAWALA |
| Credential | M.D |
| Practice Address |
593 Eddy St Dept of Radiation Oncology Providence RI 02903-4923 |
| Practice Telephone | 4014448311 |
| Practice Fax Number | 4014445335 |
| Mailing Telephone | 4014448311 |
| Mailing Fax Number | 4014445335 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2009-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MD07818 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | UNITED HEALTHCARE | 2400030 | 01 |
| RI | BLUE CROSS BLUE SHIELD | 4804-8 | 01 |
| RI | 7002082 | 05 |
| Street Address |
593 EDDY ST DEPT OF RADIATION ONCOLOGY |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903-4923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952306185 | Mitchel A Sklar | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2005-06-15 |
| 1376140707 | Kristen Marie Czekanski | Student in an Organized Health Care Education/Training Program | 593 Eddy St, Providence, RI 02903-4923 | 2020-10-08 |
| 1326645300 | Elizabeth Stefanilo | Nurse Practitioner | 593 Eddy St, Providence, RI 02903-4923 | 2020-10-03 |
| 1841807633 | Julie Walden | Student in an Organized Health Care Education/Training Program | 593 Eddy St, Providence, RI 02903-4923 | 2020-09-26 |
| 1417567751 | Yigit Baykara | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2020-08-02 |
| 1588273064 | Cassandra Pagnotta | Dietitian, Registered | 593 Eddy St, Providence, RI 02903-4923 | 2020-07-30 |
| 1982213294 | Sabitha Sasidharan Pillai | Pediatrics | 593 Eddy St, Providence, RI 02903-4923 | 2020-07-23 |
| 1861019481 | Courtney Pedersen | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-30 |
| 1508483496 | Mohammad Hisham Hout | Urology | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-26 |
| 1639796642 | Benjamin Hagan | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629545652 | Brown Urology, Inc. | Radiology | 827 N Main St Ste 4, Providence, RI 02904-5751 | 2018-10-29 |
| 1750644662 | Esther Yu | Radiology | 593 Eddy St., R.i. Hospital Rad/onc Dept / Apc Basement, Providence, RI 02903 | 2012-06-18 |
| 1538162508 | Scott A. Triedman | Radiology | 825 N Main St, Providence, RI 02904-5707 | 2005-05-24 |
| 1427525583 | Brown Urology, Inc. | Radiology | 2 Dudley St Ste 185, Providence, RI 02905-3247 | 2018-10-26 |
| 1467973099 | Brown Urology, Inc. | Radiology | 195 Collyer St Ste 201, Providence, RI 02904-1869 | 2017-07-05 |
| 1598150708 | Chelsea Miller | Radiology | 110 Lockwood St, Providence, RI 02903-4801 | 2015-04-03 |
| 1821433053 | Paul P Koffer | Radiology | 593 Eddy St, Providence, RI 02903 | 2013-05-01 |
| 1578726261 | Radiosurgery Center of Rhode Island LLC | Radiology | 593 Eddy St, Physicians' Office Building, Suite 130, Providence, RI 02903-4923 | 2008-07-03 |
| 1023278157 | Kara Lynne Leonard | Radiology | 593 Eddy St, Rih Radiation Oncology, Providence, RI 02903-4923 | 2008-06-12 |
| 1285893248 | Alexandra Sherman | Radiology | 50 Maude St, Providence, RI 02908-4325 | 2008-06-05 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02903 |
Please comment or provide details below to improve the information on MOHAMEDYAKUB A PUTHAWALA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.