Mohamedyakub Puthawala
RADIOSURGERY CENTER OF RHODE ISLAND LLC


Address: 593 Eddy St, Providence, RI 02903-4923
Phone: 4014443600

Mohamedyakub Puthawala (NPI# 1508821364, PAC ID# 3971603481) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.

Physician Overview

Nation Provider ID (NPI) 1508821364
PAC ID by PECOS 3971603481
Professional Enrollment ID I20070712000860
Full Name Mohamedyakub Puthawala
Organization Legal Name RADIOSURGERY CENTER OF RHODE ISLAND LLC
Address 593 Eddy St
Providence
RI 02903-4923
Phone Number 4014443600
Gender M
Graduation Year 1979
Primary Specialty RADIATION ONCOLOGY
Group Practice PAC ID 0345393559
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
410007 RHODE ISLAND HOSPITAL
410010 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
410012 THE MIRIAM HOSPITAL

Other Locations

Address Phone Organization
593 Eddy St, Providence, RI 02903-4923 4014443600 RADIOSURGERY CENTER OF RHODE ISLAND LLC
593 Eddy St, Providence, RI 02903-4923 4014444251 PRATT RADIATION ONCOLOGY ASSOCIATES OF RHODE ISLAND, INC

Organization Information

Organization Legal Name RADIOSURGERY CENTER OF RHODE ISLAND LLC
Physicians 3

Physicians with the same organization

Name Specialty Organization Address
Timothy J Kinsella Radiation Oncology Radiosurgery Center of Rhode Island LLC 593 Eddy St, Providence, RI 02903-4923
Paul Patrick Koffer Radiation Oncology Radiosurgery Center of Rhode Island LLC 593 Eddy St, Providence, RI 02903-4923

Office Location

Street Address 593 EDDY ST
City PROVIDENCE
State RI
Zip 02903-4923

Physicians in the same location

Name Specialty Organization Address
Keith Austin Scarfo Anesthesiology Rhode Island Hospital 593 Eddy St, Providence, RI 02903-4923
Halina Kuc-mazgaj Nurse Practitioner Lifespan Physician Group Inc 593 Eddy St, Providence, RI 02903-4923
Julie Morris Psychologist, Clinical Lifespan Physician Group Inc 593 Eddy St, Providence, RI 02903-4923
Martha C Trimbur Internal Medicine Brown Medicine 593 Eddy St, Providence, RI 02903-4923
Regina B Monteiro Nurse Practitioner Lifespan Physician Group Inc 593 Eddy St, Apc 7, Providence, RI 02903-4923
Arnaldo Adolfo Berges Psychiatry Lifespan Physician Group Inc 593 Eddy St, Providence, RI 02903-4923
Gregory R Lockhart Pediatric Medicine Brown Emergency Medicine 593 Eddy St, Providence, RI 02903-4923
Peter W Wolferseder Certified Registered Nurse Anesthetist (crna) Lifespan Physician Group Inc 593 Eddy St, Providence, RI 02903-4923
Marie A Mills Certified Registered Nurse Anesthetist (crna) Lifespan Physician Group Inc 593 Eddy St, Providence, RI 02903-4923
Courtney Clark Bilodeau Internal Medicine Lifespan Physician Group Inc 593 Eddy St, Providence, RI 02903-4923
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Physicians in the same zip code

Name Specialty Organization Address
Jenny R Donahue Physical Therapy Episcopal Housing Foundation of Rhode Island 289 N Main St, Providence, RI 02903-1223
Paige Elizabeth Caffrey Occupational Therapy Fox Rehab of Ri PC 10 Dorrance St, Suite 700, Providence, RI 02903-2014
Marcy E Bernstein General Surgery Vohra Wound Physicians of Fl LLC 10 Dorrance St, Suite 700, Providence, RI 02903-2014
Sharon Ann Gapasin Qualified Speech Language Pathologist Fox Rehab of Ri PC 10 Dorrance St, Suite 700, Providence, RI 02903-2014
Michael David Bertoncini Physical Therapy Fox Rehab of Ri PC 10 Dorrance St, Suite 700, Providence, RI 02903-2014
Jonathan Sorensen Physical Therapy Fox Rehab of Ri PC 10 Dorrance St, Suite 700, Providence, RI 02903-2014
Ann Marie Rameika Nurse Practitioner Practitioner Support Services LLP 10 Dorrance St, Suite 700, Providence, RI 02903-2014
Amy Beth Ciarniello Physical Therapy Fox Rehab of Ri PC 10 Dorrance St, Suite 700, Providence, RI 02903-2014
Dina Mccamish Physical Therapy Fox Rehab of Ri PC 10 Dorrance St, Suite 700, Providence, RI 02903-2014
Alicia Marie Marshall Occupational Therapy Fox Rehab of Ri PC 10 Dorrance St, Suite 700, Providence, RI 02903-2014
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Competitor

Search similar physicians

City PROVIDENCE
Zip Code 02903
Specialty RADIATION ONCOLOGY
City + Specialty PROVIDENCE + RADIATION ONCOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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