KHAWLA ABUSAMRA (NPI# 1972969657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972969657 |
Entity Type | Individual |
Full Name | KHAWLA ABUSAMRA |
Credential | M.D |
Practice Address |
1440 Main St Suit 201 Waltham MA 02451-1631 |
Mailing Address |
812 Memorial Dr Apt 1101 Cambridge MA 02139-4629 |
Practice Telephone | 7818916377 |
Practice Fax Number | 7816471430 |
Mailing Telephone | 7852590099 |
Enumeration Date | 2016-01-11 |
Last Update Date | 2016-01-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
1440 MAIN ST SUIT 201 |
City | WALTHAM |
State | MA |
Zip Code | 02451-1631 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770537227 | West Suburban Eye Surgery Center LLC | Clinic/Center | 1440 Main St, Waltham, MA 02451-1623 | 2006-05-20 |
1437543956 | Michael W Mcsweeney | Nurse Anesthetist, Certified Registered | 1440 Main St, Waltham, MA 02451-1631 | 2015-03-23 |
1386905503 | Matthew Mulholland | Nurse Anesthetist, Certified Registered | 1440 Main St, Waltham, MA 02451-1631 | 2012-06-05 |
1083970495 | Marco Loi | Nurse Anesthetist, Certified Registered | 1440 Main St, Waltham, MA 02451-1631 | 2012-04-10 |
1952694432 | Jennifer L Smith | Nurse Anesthetist, Certified Registered | 1440 Main St, Waltham, MA 02451-1631 | 2011-05-17 |
1801107859 | Peter Yuwei Chang | Ophthalmology | 1440 Main St, Ste 201, Waltham, MA 02451-1640 | 2010-06-24 |
1215257548 | Karapet Guyumdzhyan | Nurse Anesthetist, Certified Registered | 1440 Main St, Waltham, MA 02451-1631 | 2010-06-09 |
1952548265 | Jjm Medical Services, PC | Anesthesiology | 1440 Main St, Waltham, MA 02451-1631 | 2009-01-09 |
1780848127 | Outpatient Management Physician Svc Boston LLC | Anesthesiology | 1440 Main St, Waltham, MA 02451-1631 | 2008-07-15 |
1174644231 | Murat A Avadikoglu | Anesthesiology | 1440 Main St, Surgisite Boston, Waltham, MA 02451-1630 | 2007-04-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
Find all providers in zip 02451 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144831215 | Allison Lawsky | Student in an Organized Health Care Education/Training Program | 329 Lincoln St Apt 101, Waltham, MA 02451-2187 | 2020-08-12 |
1225657182 | Ahmet Tanritanir | Student in an Organized Health Care Education/Training Program | 5209 Stearns Hill Rd, Waltham, MA 02451-7153 | 2020-04-10 |
1134781693 | Alexis Iwuchukwu | Student in an Organized Health Care Education/Training Program | 17 Prospect St Apt 6, Waltham, MA 02453-8541 | 2019-07-05 |
1265091524 | Kathleen Marie Oppenheim | Student in an Organized Health Care Education/Training Program | 314 Bacon St, Waltham, MA 02451-7515 | 2019-06-11 |
1457850646 | Anjusha Thomas | Student in an Organized Health Care Education/Training Program | 82 Princeton Ave, Waltham, MA 02451-3135 | 2018-02-02 |
1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
1790237329 | Jennifer Moore | Student in an Organized Health Care Education/Training Program | 281 Winter St Ste 240, Waltham, MA 02451-8713 | 2016-10-31 |
1366608929 | Kerri Trainor | Student in an Organized Health Care Education/Training Program | 19 Trimount Ave, Waltham, MA 02451-3076 | 2008-08-04 |
1306459698 | Amanda Salerno | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave, Waltham, MA 02453-3872 | 2020-08-26 |
1639782345 | Thienkim Nguyen | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave, Waltham, MA 02453-3872 | 2020-08-24 |
Find all providers in WALTHAM |
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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.