Provider Demographics
NPI:1275534281
Name:ORBAN, ZSOLT (MD)
Entity Type:Individual
Prefix:
First Name:ZSOLT
Middle Name:
Last Name:ORBAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 ELM ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4626
Mailing Address - Country:US
Mailing Address - Phone:877-771-7401
Mailing Address - Fax:401-784-4902
Practice Address - Street 1:111 BREWSTER ST
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-4474
Practice Address - Country:US
Practice Address - Phone:401-729-2209
Practice Address - Fax:401-729-3572
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD 10100207R00000X, 207RE0101X
MA203509208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI110217181OtherRAILROAD MEDICARE
RI3864OtherNEIGHBORHOOD HEALTH
RI101000OtherTUFTS HEALTH PLAN
RI9002795Medicaid
RI0000002795OtherB/S
RI04-02530OtherUNITED HEALTH CARE
RI405822OtherBCHIP
RI697705OtherHARVARD PILGRIM HEALTH
RI0000002795OtherB/S
RI9002795Medicaid
RI007007465Medicare PIN