Provider Demographics
NPI:1497948566
Name:GYURMEY, TSEWANG (MD)
Entity Type:Individual
Prefix:DR
First Name:TSEWANG
Middle Name:
Last Name:GYURMEY
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 1:225 CHAPMAN ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905-4533
Mailing Address - Country:US
Mailing Address - Phone:401-490-6566
Mailing Address - Fax:401-490-6537
Practice Address - Street 1:225 CHAPMAN ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-4533
Practice Address - Country:US
Practice Address - Phone:401-490-6566
Practice Address - Fax:401-490-6537
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI13950207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI13950OtherRI PHYSICIAN LICENSE