Provider Demographics
NPI:1578737615
Name:RHODE ISLAND MEDICINE INC.
Entity Type:Organization
Organization Name:RHODE ISLAND MEDICINE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:IRFAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-286-3324
Mailing Address - Street 1:68 CUMBERLAND ST STE 205
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-3331
Mailing Address - Country:US
Mailing Address - Phone:401-765-4100
Mailing Address - Fax:
Practice Address - Street 1:68 CUMBERLAND ST STE 205
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-3331
Practice Address - Country:US
Practice Address - Phone:401-765-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-19
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty