KHAWLA ABUSAMRA


Address: 1440 Main St, Suit 201, Waltham, MA 02451-1631
Phone: 7818916377

KHAWLA ABUSAMRA (NPI# 1972969657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1440 MAIN ST
SUIT 201
City WALTHAM
State MA
Zip Code 02451-1631

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City WALTHAM
Zip Code 02451

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Dataset Information

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.

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