Provider Demographics
NPI:1043234958
Name:SABER, WALID S (MD)
Entity Type:Individual
Prefix:
First Name:WALID
Middle Name:S
Last Name:SABER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 SOCIAL ST STE 100
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-3213
Mailing Address - Country:US
Mailing Address - Phone:401-597-6500
Mailing Address - Fax:401-597-6509
Practice Address - Street 1:191 SOCIAL ST STE 100
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-3213
Practice Address - Country:US
Practice Address - Phone:401-597-6500
Practice Address - Fax:401-597-6509
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD13214207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
H38073Medicare UPIN