Dr. Sohab Sameer Radwan, MD
Internal Medicine, Cardiovascular Disease in Pittsfield, MA. Individual provider (NPI-1).
NPI number1093200750
StatusActive
Last updated in NPPESMay 17, 2025
Details
- NPI
- 1093200750
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sohab Sameer Radwan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 26, 2018
- Certification date
- May 17, 2025
- Last updated
- May 17, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CARDIOVASCULAR DISEASE (CARDIOLOGY)
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 1021375 | MA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
777 North St Fl 4Pittsfield, MA 01201-4147
Phone 413-395-7580
Mailing address
777 North St Fl 4Pittsfield, MA 01201-4147
Phone 413-395-7580
Other practice locations
5501 Old York Rd Ste 1
Philadelphia, PA 19141-3098
Philadelphia, PA 19141-3098
Phone 215-456-7890
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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