Organization
OCEAN MEDICAL PRACTICE, INC.
Active
Organization
OCEAN MEDICAL PRACTICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIBRAN KHAN MD (PRESIDENT)
(401) 765-1200
Entity
Organization
Contact information
Practice address
20 CUMBERLAND HILL RD, SUITE 208, WOONSOCKET, RI 02895-4854
(401) 765-1200
(401) 765-1212
Mailing address
20 CUMBERLAND HILL RD, SUITE 208, WOONSOCKET, RI 02895-4854
(401) 765-1200
(401) 765-1212
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9516
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OM69208
—
RI
Enumeration date
08/06/2007
Last updated
04/01/2008
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