Provider Demographics
NPI:1093763492
Name:STEIN, ACHINA P (DO)
Entity Type:Individual
Prefix:DR
First Name:ACHINA
Middle Name:P
Last Name:STEIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 WAMPANOAG TRL STE 305
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:RI
Mailing Address - Zip Code:02915-2217
Mailing Address - Country:US
Mailing Address - Phone:401-270-4541
Mailing Address - Fax:401-270-4081
Practice Address - Street 1:250 WAMPANOAG TRL STE 305
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:RI
Practice Address - Zip Code:02915-2217
Practice Address - Country:US
Practice Address - Phone:401-270-4541
Practice Address - Fax:401-270-4081
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDO 005102084P0800X
MA2047242084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI21691-3OtherBLUE CROSS
RI407275OtherBLUE CHIP
RI7008115Medicaid
RI15-27860OtherUBH
RI21691-3OtherBLUE CROSS
RI15-27860OtherUBH