Thaer Saqer Mustafa Abdelfattah, MD | |
50 Maude St, Providence, RI 02908-4325 | |
(401) 456-6510 | |
(401) 456-6852 |
Full Name | Thaer Saqer Mustafa Abdelfattah |
---|---|
Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 50 Maude St, Providence, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346796091 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 57027521 (Ohio) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | MD19125 (Rhode Island) | Primary |
Entity Name | Prospect Chartercare Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629493135 PECOS PAC ID: 0840416657 Enrollment ID: O20140730001883 |
Mailing Address | Practice Location Address |
---|---|
Thaer Saqer Mustafa Abdelfattah, MD 50 Maude St, Providence, RI 02908-4325 Ph: (401) 456-6510 | Thaer Saqer Mustafa Abdelfattah, MD 50 Maude St, Providence, RI 02908-4325 Ph: (401) 456-6510 |
Christopher Donald Palmer, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 101 Dudley St, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7597 | |
Martha Catherine Trimbur, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 245 Chapman St Ste 300, Providence, RI 02905 Phone: 401-444-4741 Fax: 401-444-4445 | |
Karl Herman, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Fain Bldg., Providence, RI 02906 Phone: 401-793-4489 Fax: 401-793-4047 | |
Muhammad Baig, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Fain Bldg, Providence, RI 02906 Phone: 401-793-4489 Fax: 401-793-4047 | |
Gary M Katzman, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 208 Collyer Street, Suite 100, Providence, RI 02904 Phone: 401-793-7191 Fax: 401-793-7200 | |
Thomas Fairweather Crain, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 401-793-4630 | |
James Atkinson, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 401-793-4500 |