Individual provider · NPI-1

Joanna Abi Chebl, MD

Internal Medicine, Geriatric Medicine · Providence, RI

NPI number1700504396
StatusActive
Last updated in NPPESJun 6, 2024

Details

NPI
1700504396
Entity type
Individual (NPI-1)
Name
Joanna Abi Chebl
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 19, 2022
Certification date
May 14, 2024
Last updated
Jun 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0300X Internal Medicine, Geriatric MedicineMD20001RIYes
207R00000X Internal MedicineMD20001RI
207RP1001X Internal Medicine, Pulmonary DiseaseMD20001RI

Practice location

825 Chalkstone Ave
Providence, RI 02908-4728

Phone 401-456-2000

Mailing address

825 Chalkstone Ave
Providence, RI 02908-4728

Phone 401-456-2000

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