NPI 1609837707 · live from the CMS NPI Registry
Motasem A Al-Yacoub, M.D.
Psychiatry & Neurology, Neurology in Pawtucket, RI. National Provider Identifier 1609837707, active.
NPI record
| NPI | 1609837707 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 333 School St, Suite 103, Pawtucket, RI 02860 |
| Practice phone | 401-724-4100 |
| Enumerated | March 29, 2006 |
| Last updated | October 9, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 212368 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.