Provider Demographics
NPI:1174295406
Name:RHODE ISLAND HEALTH GROUP PRIMACARE PC
Entity Type:Organization
Organization Name:RHODE ISLAND HEALTH GROUP PRIMACARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NASIR
Authorized Official - Middle Name:ALAM
Authorized Official - Last Name:BHATTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-597-5353
Mailing Address - Street 1:63 EDDIE DOWLING HWY STE 1
Mailing Address - Street 2:
Mailing Address - City:NORTH SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02896-7322
Mailing Address - Country:US
Mailing Address - Phone:401-769-2222
Mailing Address - Fax:401-769-4555
Practice Address - Street 1:63 EDDIE DOWLING HWY STE 1
Practice Address - Street 2:
Practice Address - City:NORTH SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02896-7322
Practice Address - Country:US
Practice Address - Phone:401-769-2222
Practice Address - Fax:401-769-4555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-05
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty