Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Farah Moustafa, MD

Individual provider Internal Medicine Physician · NPI 1679954853

Farah Moustafa, MD is an Internal Medicine in Providence, Rhode Island. Qualified in 2015, 11 years ago. Practices with Pratt MED/SURG Dermatology Associates Inc, a 20-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
11
Licensed in
MA, RI
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-7139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence LP03690 (RI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 264225 (MA)

Record details

NPI number1679954853
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2015
Last updated in NPPESJuly 28, 2016
Mailing address593 Eddy St, Providence, RI 02903-4923

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Pratt Med/Surg Dermatology Associates Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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