Individual
HAJRA AWWAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY STREET, RHODE ISLAND HOSPITAL-GRADUATE MEDICAL EDUCATION, PROVIDENCE, RI 02903
(401) 444-8450
(401) 444-5088
Mailing address
593 EDDY STREET, RHODE ISLAND HOSPITAL-GRADUATE MEDICAL EDUCATION, PROVIDENCE, RI 02903
(401) 444-8450
(401) 444-5088
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01093260A
IN
207RC0000X
Cardiovascular Disease Physician
01093260A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
01093260A
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
LP05612
RI
Other
Enumeration date
05/04/2016
Last updated
05/21/2024
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