Individual
SHERISE CHANTELL ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(401) 793-2500
Mailing address
218 MANSFIELD ST APT 3, NEW HAVEN, CT 06511-3539
(718) 614-5727
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME145966
FL
207RH0003X
Hematology & Oncology Physician
Primary
MD20503
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107261400
—
FL
Enumeration date
04/09/2014
Last updated
03/12/2025
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