Basic Information
| Provider Information | |||||||||
| NPI: | 1245229384 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EL-TWAL | ||||||||
| FirstName: | MUHAND | ||||||||
| MiddleName: | S | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 91 STILES RD | ||||||||
| Address2: | ATTN SHARON SILVA | ||||||||
| City: | SALEM | ||||||||
| State: | NH | ||||||||
| PostalCode: | 030795804 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6038939784 | ||||||||
| FaxNumber: | 6038938886 | ||||||||
| Practice Location | |||||||||
| Address1: | 88 WASHINGTON ST | ||||||||
| Address2: | MORTON HOSPITAL & MEDICAL CENTER | ||||||||
| City: | TAUNTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027802465 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5088219989 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/20/2005 | ||||||||
| LastUpdateDate: | 12/14/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | 158795 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology | 207RN0300X | MD10460 | RI | N | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
ID Information
| ID | Type | State | Issuer | Description | 7008893 | 05 | RI | MEDICAID | 2001781 | 05 | MA | MEDICAID |