Individual
BARA MOURADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 METRO CENTER BOULEVARD SUITE 2000, WARWICK, RI 02886
(401) 432-2520
(401) 453-8220
Mailing address
125 METRO CENTER BOULEVARD SUITE 2000, WARWICK, RI 02886
(401) 432-2520
(401) 453-8220
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A83434
CA
2085R0202X
Diagnostic Radiology Physician
Primary
MD12590
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A834340
BS
CA
05
—
00A834340
—
CA
Enumeration date
07/04/2006
Last updated
03/29/2019
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