| Dr Emad Awa, MD | |
|
1 Randall Sq Ste 404, Providence, RI 02904 | |
| (401) 861-5183 | |
| Not Available |
| Full Name | Dr Emad Awa |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1 Randall Sq Ste 404, Providence, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336408723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD16109 (Rhode Island) | Secondary |
| 208000000X | Pediatrics | 18714 (New Hampshire) | Secondary |
| 208000000X | Pediatrics | 273768 (Massachusetts) | Primary |
| Entity Name | Children's Hospital Pediatric Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Emad Awa, MD 172 Kinsley St, Nashua, NH 03060-3648 Ph: (603) 882-3000 | Dr Emad Awa, MD 1 Randall Sq Ste 404, Providence, RI 02904 Ph: (401) 861-5183 |
Sara Regan Ford, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Hoppin St, Coro Center Suite 304, Providence, RI 02903 Phone: 401-444-4612 Fax: 401-793-8831 | |
Jennifer F Friedman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Lower Level, Providence, RI 02903 Phone: 401-444-4471 Fax: 401-444-3870 | |
Jason Shapiro, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088 | |
Dr. Mikhaela Monty, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4471 Fax: 401-444-7574 | |
Dale Steele, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903 Phone: 401-854-2504 Fax: 401-854-2519 | |
Chase B Samsel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088 | |
Adebimpe Olubusayo Adewusi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Porter 005, Providence, RI 02903 Phone: 401-444-2877 Fax: 401-444-3804 |