Jack P Mourad,Md,Inc

LBN: Jack P Mourad,Md,Inc
Jack P Mourad,Md,Inc is an health care organization with primary practice located at 226 Auburn St , Cranston RI 02910-2852. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as the primary health care specialty. Jack P Mourad,Md,Inc can be contacted via phone (401) 461-8450, or through Mourad, Jack P via phone (401) 461-8450.

Contact Information

Primary practice address
226 Auburn St Cranston RI 02910-2852
Phone: (401) 461-8450
Fax: (401) 461-8640
Website:
Map and Directions
Authorized official contact:
Name: Mourad, Jack P Doctor of Medicine (MD)
Phone: (401) 461-8450

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 8219 Rhode Island

Profile Details

NPI number 1669622478
LBN Legal business name Jack P Mourad,Md,Inc
DBA Doing business as
Authorized official Mourad, Jack P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2008
Last updated Dec 22nd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669622478 NPPES
Rhode Island MEDICAID 9002703
Rhode Island Other 110179243
Rhode Island Other 22724
Rhode Island Other 2703-4
Rhode Island Other 04-01308
Rhode Island Other 64476

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