Individual
GHADA ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
(401) 921-9212
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 732-5500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT207087
PA
2085R0202X
Diagnostic Radiology Physician
1017279
MA
2085R0202X
Diagnostic Radiology Physician
279733
MA
2085R0202X
Diagnostic Radiology Physician
Primary
MD16941
RI
Other
Enumeration date
07/25/2014
Last updated
11/08/2023
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