Healthcare Provider Details

I. General information

NPI: 1285337618
Provider Name (Legal Business Name): AHMED ELHAWARY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2023
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

593 EDDY ST, PROVIDENCE, RI 02903-4923
PROVIDENCE RI
02903-4923
US

IV. Provider business mailing address

15 LASALLE SQ, PROVIDENCE, RI 02903-1814 593 EDDY ST, PROVIDENCE, RI 02903-4923
PROVIDENCE RI
02903-1814
US

V. Phone/Fax

Practice location:
  • Phone: 401-444-3985
  • Fax: 401-444-3986
Mailing address:
  • Phone: 401-444-2369
  • Fax: 401-444-6912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD21312
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: