Active NPIIndividual provider

Mohammad Abdallat, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Providence, Rhode Island

NPI Number1033634647
Practice location
50 Maude St, Providence, RI 02908-4325
Fax
—
Last updated
March 18, 2026

Mohammad Abdallat is a Thoracic Surgery (Cardiothoracic Vascular Surgery) based in Providence, RI. Mohammad Abdallat practices in Providence, RI and has the professional credentials of MD. The NPI Number for Mohammad Abdallat is 1033634647 and holds a License No. CMD20274 (RI). The current practice location address for Mohammad Abdallat is 50 Maude St, Providence, RI 02908-4325 and can be reached out via phone at 401-456-2077.

Provider Profile Details

NPI Number
1033634647
Provider Name
Mohammad Abdallat
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
50 Maude St, Providence, RI 02908-4325
Phone Number
401-456-2077
Sole Proprietor
No
Provider Enumeration Date
August 4, 2017
Last Update Date
March 18, 2026
Certification Date
March 18, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
50 Maude St
Providence, RI 02908-4325
Zip
02908-4325
Phone Number
401-456-2077
Providence, RI 02908Get directions →

Provider Business Mailing Address Details

Address
825 Chalkstone Ave
Providence, RI 02908-4728
City
Providence
State
RI
Zip
02908-4728
Phone Number
929-217-7323

License Information

License Number (1)
CMD20274
License State (1)
RI
Taxonomy (1)
Thoracic Surgery (Cardiothoracic Vascular Surgery) · 208G00000X · Primary
License Number (2)
CMD20274
License State (2)
RI
Taxonomy (2)
Surgery · 208600000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mohammad Abdallat, MD?

The NPI number of Mohammad Abdallat, MD is 1033634647. It was assigned on August 4, 2017 and is currently active in the NPPES registry.

What is the specialty of Mohammad Abdallat, MD?

Mohammad Abdallat, MD is registered under the primary taxonomy Thoracic Surgery (Cardiothoracic Vascular Surgery) (code 208G00000X), licensed in RI under license number CMD20274.

Where does Mohammad Abdallat, MD practice?

The practice location is 50 Maude St, Providence, RI 02908-4325. The office can be reached at 401-456-2077 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033634647 directly on the NPPES registry website.

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