Provider Demographics
NPI:1013987353
Name:NASIN, CHRISTOPHER S (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:S
Last Name:NASIN
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 1:6 BUTTERFIELD RD, POTTER BUILDING
Mailing Address - Street 2:URI STUDENT HEALTH SERVICES
Mailing Address - City:KINGSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02881
Mailing Address - Country:US
Mailing Address - Phone:401-529-4023
Mailing Address - Fax:
Practice Address - Street 1:6 QUARRY RD
Practice Address - Street 2:URI STUDENT HEALTH SERVICES
Practice Address - City:KINGSTON
Practice Address - State:RI
Practice Address - Zip Code:02881-1116
Practice Address - Country:US
Practice Address - Phone:410-529-4023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD12990207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD000Medicare UPIN