NPI 1043565500 · live from the CMS NPI Registry
Abdullah Malkawi, M.D
Radiology, Diagnostic Radiology in Providence, RI. National Provider Identifier 1043565500, active.
NPI record
| NPI | 1043565500 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 593 Eddy St, Providence, RI 02903 |
| Practice phone | 401-444-5174 |
| Mailing address | 4201 Saint Antoine St, Detroit, MI 48201 |
| Enumerated | July 19, 2012 |
| Last updated | July 21, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 4301101132 (MI) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | MD15785 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.