Provider Demographics
NPI:1801065768
Name:SRIPATHI A.S. KARANTH, MD, INC
Entity type:Organization
Organization Name:SRIPATHI A.S. KARANTH, MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SRIPATHI
Authorized Official - Middle Name:
Authorized Official - Last Name:KARANTH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-765-1750
Mailing Address - Street 1:20 CUMBERLAND HILL RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-4854
Mailing Address - Country:US
Mailing Address - Phone:401-765-1750
Mailing Address - Fax:401-356-4464
Practice Address - Street 1:20 CUMBERLAND HILL RD
Practice Address - Street 2:SUITE 204
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-4854
Practice Address - Country:US
Practice Address - Phone:401-765-1750
Practice Address - Fax:401-356-4464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD11310207R00000X, 207RG0100X, 207RI0008X
RIMD04565207RG0100X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
No207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatologyGroup - Multi-Specialty