Provider Demographics
NPI:1063466324
Name:LARKIN, DURGA S (MD)
Entity Type:Individual
Prefix:DR
First Name:DURGA
Middle Name:S
Last Name:LARKIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 EAST MANNING ST.
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906
Mailing Address - Country:US
Mailing Address - Phone:401-272-2020
Mailing Address - Fax:401-421-5979
Practice Address - Street 1:55 VILLAGE SQUARE DRIVE
Practice Address - Street 2:BUILDING 24
Practice Address - City:SOUTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02879
Practice Address - Country:US
Practice Address - Phone:401-272-2020
Practice Address - Fax:401-789-4113
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD07869207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
004475OtherBLUE CHIP
RI324OtherBLUE CROSS BLUE SHIELD
2233622OtherAETNA HMO
3033OtherNEIGHBORHOOD HEALTH
7117047OtherAETNA NON HMO
180039474OtherRAILROAD MEDICARE
3253450001OtherCIGNA
RI7001695Medicaid
R001038OtherTRICARE
050369447OtherVISION SERVICE PLAN
RI0800670OtherUNITED HEALTHCARE
7117047OtherAETNA NON HMO
F06888Medicare UPIN