Provider Demographics
NPI:1235314691
Name:USHA STOKOE MD INC
Entity Type:Organization
Organization Name:USHA STOKOE MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:USHA
Authorized Official - Middle Name:
Authorized Official - Last Name:STOKOE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-732-8081
Mailing Address - Street 1:200 TOLL GATE RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-4440
Mailing Address - Country:US
Mailing Address - Phone:401-732-8081
Mailing Address - Fax:401-732-8098
Practice Address - Street 1:200 TOLL GATE RD
Practice Address - Street 2:# 204
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4440
Practice Address - Country:US
Practice Address - Phone:401-732-8081
Practice Address - Fax:401-732-8098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-04
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI8949261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI26332-8OtherBC/BS
RI9020236Medicaid
RI204474OtherB LUE CHIP
RI404205OtherTUFTS
RI26332-8OtherBC/BS
RI089026332Medicare PIN