Mohamedyakub A Puthawala, MD | |
593 Eddy St, Dept Of Radiation Oncology, Providence, RI 02903-4923 | |
(401) 444-8311 | |
(401) 444-5335 |
Full Name | Mohamedyakub A Puthawala |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 45 Years |
Location | 593 Eddy St, Providence, Rhode Island |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508821364 | NPI | - | NPPES |
2400030 | Other | RI | UNITED HEALTHCARE |
7002082 | Medicaid | RI | |
4804-8 | Other | RI | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | MD07818 (Rhode Island) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Rhode Island Hospital | Providence, RI | Hospital |
Newport Hospital | Newport, RI | Hospital |
Women & Infants Hospital Of Rhode Island | Providence, RI | Hospital |
The Miriam Hospital | Providence, RI | Hospital |
Kent County Memorial Hospital | Warwick, RI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiosurgery Center Of Rhode Island Llc | 0345393559 | 7 |
Lifespan Physician Group Inc | 2567455082 | 634 |
Pratt Radiation Oncology Associates Of Rhode Island, Inc | 4284731357 | 7 |
Entity Name | Rhode Island Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396849782 PECOS PAC ID: 8921900044 Enrollment ID: O20050211000311 |
Entity Name | Pratt Radiation Oncology Associates Of Rhode Island, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891843579 PECOS PAC ID: 4284731357 Enrollment ID: O20070524000277 |
Entity Name | Radiosurgery Center Of Rhode Island Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578726261 PECOS PAC ID: 0345393559 Enrollment ID: O20090806000017 |
Entity Name | Lifespan Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368 |
Mailing Address | Practice Location Address |
---|---|
Mohamedyakub A Puthawala, MD 593 Eddy St, Dept Of Radiation Oncology, Providence, RI 02903-4923 Ph: (401) 444-8311 | Mohamedyakub A Puthawala, MD 593 Eddy St, Dept Of Radiation Oncology, Providence, RI 02903-4923 Ph: (401) 444-8311 |
Lars Stangenberg, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2 Dudley St, Suite 470, Providence, RI 02905 Phone: 401-553-8318 Fax: 401-868-2307 | |
Kara Lynne Leonard, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Rih Radiation Oncology, Providence, RI 02903 Phone: 401-444-8311 Fax: 401-444-5335 | |
Michael Low Cardenas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 825 N Main St, Providence, RI 02904 Phone: 774-279-0884 | |
Earle O Assanah, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5174 | |
Glenn A Tung, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4000 | |
Sarah-kim Shields, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Radiology, Providence, RI 02903 Phone: 401-444-2133 Fax: 401-444-5017 | |
Sean O'neill, MD Radiology Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5127 Fax: 401-444-3056 |