Ahmad Al-Raqqad, M.D.
Individual provider Active NPI Internal Medicine Physician · Pawtucket, RI
NPI 1528020765 · NPPES record last updated May 3, 2016
Key facts
- NPI
- 1528020765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 11076 (RI)
- Practice address
- 333 School St
Suite 210
Pawtucket, RI 02860-5334 - Phone
- (401) 726-9790
- Fax
- (401) 728-8606
- NPI assigned
- Apr 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 219661 | MA | MD | Clinical Social Worker |
| 11076 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Foot Care, Inc | Past | Accepting new patients |
Interoperability endpoints
- aalraqqad@nardone.hin2.us
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 11076 | RI | Yes |
Addresses
Primary practice location
333 School St
Suite 210
Pawtucket, RI 02860-5334
Mailing address
333 School St
Suite 210
Pawtucket, RI 02860-5334
Phone (401) 726-9790
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA50378 | Medicaid | RI |
Other providers in Pawtucket, RI
- Jamie Aguilar
- Patricia Aguilar
- Stephanie Nicole Ahearn
- Silifat Adedayo Ainabe
- Olubukola Ajayi
- Motasem A Al-Yacoub
- Chris Michael Albanese
- Albert Silva MSW LCDP Cadc LLC
- Erica Albert
- Kevin Alexander
All providers in Pawtucket, RI · Internal Medicine 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 May 3, 2016. 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.