Individual
DR. SAMI ELIAS RISHMAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
266147
MA
2080P0203X
Pediatric Critical Care Medicine Physician
036117865
IL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
31612
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
316125
—
SC
05
—
5911502
—
NC
01
—
AA61354862
MEDICARE PIN
SC
01
—
P01033622
RAILROAD MEDICARE
SC
Enumeration date
05/25/2007
Last updated
02/22/2021
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