Basic Information
Provider Information
NPI: 1528313210
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OSKUEI
FirstName: ASSAD
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10 PARK ROW WEST
Address2: APT 338
City: PROVIDENCE
State: RI
PostalCode: 02903
CountryCode: US
TelephoneNumber: 3129090243
FaxNumber:  
Practice Location
Address1: 203 PLYMOUTH AVE
Address2:  
City: FALL RIVER
State: MA
PostalCode: 027214300
CountryCode: US
TelephoneNumber: 5086794239
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/18/2012
LastUpdateDate: 09/11/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X277667MAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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