Provider Demographics
NPI:1821070418
Name:JOSEPH, PLAKYIL JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:PLAKYIL
Middle Name:JOSEPH
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1220 PONTIAC AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-4455
Mailing Address - Country:US
Mailing Address - Phone:401-943-4660
Mailing Address - Fax:401-943-0240
Practice Address - Street 1:1220 PONTIAC AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-4455
Practice Address - Country:US
Practice Address - Phone:401-943-4660
Practice Address - Fax:401-943-0240
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2013-09-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RIMD08116207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR2456OtherNEIGHBORGOOD HEALTH PLAN
720023901OtherCIGNA
MA0173711OtherMASSHEALTH
RI0512967OtherUS HEALTHCARE
RI0000002589OtherBC/BS OF RI
05279441OtherAETNA
11093252OtherCAQH
RI30-00051OtherUHC OF NEW ENGLAND,INC
RI7003433Medicaid
RI203575OtherRI BLUE CHIP
RIRI0007329OtherTRICARE
RI0000002589OtherFEP BC/BS
RI110203419OtherRAILROAD MEDICARE
RI14368RIHOtherHARVARD PILGRIM HEALTH IN
RI30-00051OtherUHC OF NEW ENGLAND,INC
RI110203419OtherRAILROAD MEDICARE