Dianne Abuelo, MD
Individual provider Active NPI Pediatrics Physician · Providence, RI
NPI 1205889367 · NPPES record last updated Jan 21, 2011
Key facts
- NPI
- 1205889367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 05091 (RI)
- Practice address
- 593 Eddy St
Pob 234
Providence, RI 02903-4923 - Phone
- (401) 444-8361
- Fax
- (401) 444-3288
- NPI assigned
- May 18, 2006
- Sex
- Female
- 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 |
|---|---|---|---|
| 05091 | RI | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 05091 | RI | Yes |
Addresses
Primary practice location
593 Eddy St
Pob 234
Providence, RI 02903-4923
Mailing address
593 Eddy St
Pob 234
Providence, RI 02903-4923
Phone (401) 444-8484
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9006052 | Medicaid | RI |
Other providers in Providence, RI
- Carmel Absi
- Alaa Abu Ajamieh
- Ruba F I Abu Alhuda
- Yusra Abu Shreikh
- Hussein Abu-Hashish
- Lana Abusubaih
- Academy Physical Therapy, Inc.
- Toni Marie Acampora
- Access and Care Recovery Foundation
- Access and Care Recovery Home
All providers in Providence, RI · Pediatrics 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 21, 2011. 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.