Individual
MR. MOHAMMAD MUTAZ SA'ADALDIN QAZZIHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-3985
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(330) 480-2616
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.253062
OH
207R00000X
Internal Medicine Physician
Primary
MD20296
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2022
Last updated
06/11/2025
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