Organization
US CARE PAIN CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAFEEZ URRAHMAN KHAN MD (PRESIDENT)
(401) 228-7585
Entity
Organization
Contact information
Practice address
955 CHALKSTONE AVE, 2ND FLOOR, PROVIDENCE, RI 02908-4220
(401) 228-7585
Mailing address
12 KIRKBRAE DR, LINCOLN, RI 02865-1008
(401) 228-7585
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD10308
RI
Other
Enumeration date
02/11/2007
Last updated
09/18/2008
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