Individual
BASSAM KHABBAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2295 DIAMOND HILL RD, CUMBERLAND, RI 02864-5104
(401) 333-3445
(401) 333-3465
Mailing address
2295 DIAMOND HILL RD, CUMBERLAND, RI 02864-5104
(401) 333-3445
(401) 333-3465
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10573
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9004563
—
RI
Enumeration date
02/21/2007
Last updated
07/08/2007
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