Provider Demographics
NPI:1942608476
Name:SK CORPORATION INC
Entity Type:Organization
Organization Name:SK CORPORATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAHZAD
Authorized Official - Middle Name:
Authorized Official - Last Name:KHURSHID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-732-3553
Mailing Address - Street 1:215 TOLL GATE RD
Mailing Address - Street 2:SUITE 309
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-4458
Mailing Address - Country:US
Mailing Address - Phone:401-732-3553
Mailing Address - Fax:401-765-2300
Practice Address - Street 1:215 TOLL GATE RD
Practice Address - Street 2:SUITE 309
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4458
Practice Address - Country:US
Practice Address - Phone:401-732-3553
Practice Address - Fax:401-765-2300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-16
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD10981207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty