IndividualActive
Mohammad Abdallat, MD
NPI 1033634647 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Providence, RI
Provider details
- NPI number
- 1033634647
- Entity type
- Individual
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- CMD20274 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
50 Maude St
Providence, RI 02908-4325
Phone: (401) 456-2077
Approximate (ZIP-level) locationGet directions
Mailing address
825 Chalkstone Ave
Providence, RI 02908-4728
Additional practice locations (1)
- 825 Chalkstone AveProvidence, RI 02908-4728Phone: (929) 217-7323
Registry dates
- Enumerated
- 2017-08-04
- Last updated
- 2026-03-18
- Certified
- 2026-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.