Healthcare Provider Details

I. General information

NPI: 1043234958
Provider Name (Legal Business Name): WALID S SABER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 SOCIAL ST STE 100
WOONSOCKET RI
02895-3213
US

IV. Provider business mailing address

191 SOCIAL ST STE 100
WOONSOCKET RI
02895-3213
US

V. Phone/Fax

Practice location:
  • Phone: 401-597-6500
  • Fax: 401-597-6509
Mailing address:
  • Phone: 401-597-6500
  • Fax: 401-597-6509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD13214
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number244129
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberMD13214
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: