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Individual

MOHAMMAD ABDALLAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
50 MAUDE ST, PROVIDENCE, RI 02908-4325
(401) 456-2077
Mailing address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(929) 217-7323

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
CMD20274
RI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
CMD20274
RI

Other

Enumeration date
08/04/2017
Last updated
03/18/2026
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