IndividualActive
Abdelmoniem Moustafa, MD
NPI 1477937696 · Internal Medicine Physician · Providence, RI
Provider details
- NPI number
- 1477937696
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD16240 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
164 Summit Ave
Providence, RI 02906-2853
Phone: (401) 793-4489
Approximate (ZIP-level) locationGet directions
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4513
Registry dates
- Enumerated
- 2015-07-17
- Last updated
- 2018-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.