Provider Demographics
NPI:1609047307
Name:HYAMS, ELIAS S (MD)
Entity Type:Individual
Prefix:
First Name:ELIAS
Middle Name:S
Last Name:HYAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:75 NEWMAN AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:RUMFORD
Mailing Address - State:RI
Mailing Address - Zip Code:02916-3603
Mailing Address - Country:US
Mailing Address - Phone:401-854-2465
Mailing Address - Fax:401-435-7019
Practice Address - Street 1:195 COLLYER ST STE 201
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-1869
Practice Address - Country:US
Practice Address - Phone:401-272-7799
Practice Address - Fax:401-453-9078
Is Sole Proprietor?:No
Enumeration Date:2008-03-20
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH15706208800000X
NY238534208800000X
RIMD17355208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD035286100Medicaid
MD182168ZAM2Medicare PIN