| Fadlallah G Habr, MD | |
|
375 Wampanoag Trl, Suite 202a, Riverside, RI 02915-2212 | |
| (401) 649-4030 | |
| (401) 649-4031 |
| Full Name | Fadlallah G Habr |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 32 Years |
| Location | 375 Wampanoag Trl, Riverside, Rhode Island |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619924651 | NPI | - | NPPES |
| 9021243 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MD09914 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rhode Island Hospital | Providence, RI | Hospital |
| The Miriam Hospital | Providence, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifespan Physician Group Inc | 2567455082 | 669 |
| Entity Name | The Miriam Hospital |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1164716031 PECOS PAC ID: 6901796408 Enrollment ID: O20110928000027 |
| Entity Name | Lifespan Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368 |
| Entity Name | Rhode Island Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154537520 PECOS PAC ID: 8921900044 Enrollment ID: O20141017000105 |
| Mailing Address | Practice Location Address |
|---|---|
| Fadlallah G Habr, MD 17 Virginia Ave, Suite 107, Providence, RI 02905-4406 Ph: (401) 443-4992 | Fadlallah G Habr, MD 375 Wampanoag Trl, Suite 202a, Riverside, RI 02915-2212 Ph: (401) 649-4030 |
Tonslyn Toure, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4090 Fax: 401-649-4091 | |
Jonathan A Leviss, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4020 Fax: 401-649-4021 | |
Thomas D Denucci, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 375 Wampanoag Trl, Suite 202a, Riverside, RI 02915 Phone: 401-649-4030 Fax: 401-649-4031 | |
Kristen Tillquist, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4060 Fax: 401-649-4061 | |
Dr. Ankur Shah, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4060 Fax: 401-649-4061 | |
Reginald Y Gohh, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Suite 302a, Riverside, RI 02915 Phone: 401-649-4060 Fax: 401-649-4061 | |
Dr. Franklin D Mccool, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl Ste 302b, Riverside, RI 02915 Phone: 401-649-4070 Fax: 401-649-4071 |