Sami Abedin, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Cranston, RI
NPI 1104044130 · NPPES record last updated Jan 31, 2014
Key facts
- NPI
- 1104044130
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- MD14382 (RI)
- Practice address
- 65 Sockanosset Cross Rd
Cranston, RI 02920-5536 - Phone
- (401) 886-4830
- Fax
- (888) 779-7670
- NPI assigned
- Apr 23, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125023 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD14382 | RI | Yes |
Addresses
Primary practice location
65 Sockanosset Cross Rd
Cranston, RI 02920-5536
Mailing address
77 Hoffman Ave
Apt. E
Cranston, RI 02920-4558
Phone (401) 886-4830
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA93953 | Medicaid | RI |
Other providers in Cranston, RI
- Amr Abdel Kader
- Nahid M Abed-Faghri
- Edward W Aberger
- Mohammed Abiri
- Sarah Abood
- Heather P Abrahams
- Access to Psychiatry, Inc.
All providers in Cranston, RI · Diagnostic Radiology Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.