Individual
SARAH-KIM SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
593 EDDY ST, RADIOLOGY, PROVIDENCE, RI 02903-4923
(401) 444-2133
(401) 444-5017
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-2133
(401) 444-5017
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
15254
RI
2085R0202X
Diagnostic Radiology Physician
277219
MA
208D00000X
General Practice Physician
1742220
MI
Other
Enumeration date
07/08/2011
Last updated
03/12/2019
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