Provider Demographics
NPI:1619968047
Name:MOHAMMED ABIRI MD INC
Entity Type:Organization
Organization Name:MOHAMMED ABIRI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ABIRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-944-1052
Mailing Address - Street 1:725 RESERVOIR AVENUE
Mailing Address - Street 2:SUITE 306
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-4448
Mailing Address - Country:US
Mailing Address - Phone:401-944-1052
Mailing Address - Fax:401-944-1053
Practice Address - Street 1:725 RESERVOIR AVE
Practice Address - Street 2:SUITE 306
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910-4448
Practice Address - Country:US
Practice Address - Phone:401-944-1052
Practice Address - Fax:401-944-1053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI03998208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI3998Medicaid
RI000111OtherBLUE CHIP
RI3998OtherBLUE CROSS
RIC90298Medicare ID - Type Unspecified
RI3998OtherBLUE CROSS