Mohamed Abdelrahman, MD
Individual provider Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Boston, MA
NPI 1558050591 · NPPES record last updated Sep 9, 2024
Key facts
- NPI
- 1558050591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- License
- 3015558 (MA)
- Practice address
- 300 Longwood Ave
Boston, MA 02115-5724 - Phone
- (843) 730-2551
- NPI assigned
- May 4, 2023
- Reactivated
- Sep 4, 2024
- 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)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3015558 | MA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 3015558 | MA | Yes |
Addresses
Primary practice location
300 Longwood Ave
Boston, MA 02115-5724
Mailing address
300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 730-0214
Other practice location 1
300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 730-0214
Other providers in Boston, MA
- Ibrahim Abdelmoneim
- Aya Abdelnaser
- Kristin J Abdelnour
- Sara Abdelrahim
- Khaled Abdelrahman
- Eslam M Abdelwahab
- Myriam Abdennadher
- Mario E Abdennour
- Hodan Abdi
- Layla Abdi
All providers in Boston, MA · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2024. 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.