Puthawala, Mohamedyakub A

Puthawala, Mohamedyakub A is an individual health care provider with primary practice located at 593 Eddy St Dept Of Radiation Oncology, Providence RI 02903-4923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Puthawala, Mohamedyakub A can be contacted via phone (401) 444-8311.

Contact Information

Primary practice address
593 Eddy St Dept Of Radiation Oncology Providence RI 02903-4923
Fax: (401) 444-5335
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD07818 Rhode Island

Profile Details

NPI number 1508821364
LBN Legal business name Puthawala, Mohamedyakub A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Oct 7th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508821364 NPPES
Rhode Island Other 2400030 UNITED HEALTHCARE
Rhode Island MEDICAID 7002082 UNITED HEALTHCARE
Rhode Island Other 4804-8 UNITED HEALTHCARE

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