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

Individual provider Radiation Oncology Physician · NPI 1508821364

Mohamedyakub A Puthawala, MD is a Radiation Oncology in Providence, Rhode Island. Qualified in 1979, 47 years ago. Practices with Radiosurgery Center of Rhode Island LLC, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
47
Licensed in
RI
In the registry since
2006
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 Dept OF Radiation Oncology
Providence, RI 02903-4923
Phone: (401) 444-8311
Fax: (401) 444-5335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence MD07818 (RI)

Record details

NPI number1508821364
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2006
Last updated in NPPESOctober 7, 2009

Medicare enrollment

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

Medicare specialtyRADIATION ONCOLOGY
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Radiosurgery Center Of Rhode Island Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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