Provider Demographics
NPI:1194231217
Name:OCEAN STATE FOOT AND ANKLE SPECIALISTS, L.L.C.
Entity Type:Organization
Organization Name:OCEAN STATE FOOT AND ANKLE SPECIALISTS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARUN
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:KARWAL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:847-630-4775
Mailing Address - Street 1:20 CUMBERLAND HILL RD UNIT 210
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-4854
Mailing Address - Country:US
Mailing Address - Phone:401-356-4262
Mailing Address - Fax:
Practice Address - Street 1:20 CUMBERLAND HILL RD UNIT 210
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895
Practice Address - Country:US
Practice Address - Phone:401-356-4262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-27
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDPM00346213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty