Individual
DR. MOHAMED DIYA SABBAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
RHODE ISLAND HOSPITAL - COOP 500, 2 DUDLEY ST, PROVIDENCE, RI 02903-4923
(401) 444-4188
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
LP04694
RI
208600000X
Surgery Physician
29202
MN
Other
Enumeration date
06/29/2018
Last updated
09/15/2023
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