| Dr Mahmoud Ahmed Rahal, MD | |
| 
					825 Chalkstone Ave, Providence, RI 02908-4728  | |
| (401) 456-2000 | |
| Not Available | 
| Full Name | Dr Mahmoud Ahmed Rahal | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Gastroenterology | 
| Location | 825 Chalkstone Ave, 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 | 
|---|---|---|---|
| 1104346733 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MD19447 (Rhode Island) | Primary | 
| Entity Name | Prospect Chartercare Physicians Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629493135 PECOS PAC ID: 0840416657 Enrollment ID: O20140730001883  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Mahmoud Ahmed Rahal, MD 255 Promenade St Apt P537, Providence, RI 02908-5746 Ph: (317) 389-6480  | Dr Mahmoud Ahmed Rahal, MD 825 Chalkstone Ave, Providence, RI 02908-4728 Ph: (401) 456-2000  | 
Christopher Donald Palmer, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 101 Dudley St, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7597  | |
Martha Catherine Trimbur, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 245 Chapman St Ste 300, Providence, RI 02905 Phone: 401-444-4741 Fax: 401-444-4445  | |
Karl Herman, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Fain Bldg., Providence, RI 02906 Phone: 401-793-4489 Fax: 401-793-4047  | |
Muhammad Baig, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Fain Bldg, Providence, RI 02906 Phone: 401-793-4489 Fax: 401-793-4047  | |
Gary M Katzman, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 208 Collyer Street, Suite 100, Providence, RI 02904 Phone: 401-793-7191 Fax: 401-793-7200  | |
Thomas Fairweather Crain, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 401-793-4630  | |
James Atkinson, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 401-793-4500  |