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Individual

RASHMI S LICHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
450 VETERANS MEMORIAL PKWY, BUILDING 14, E PROVIDENCE, RI 02914-5300
(401) 435-6600
Mailing address
450 VETERANS MEMORIAL PKWY, BUILDING 14, E PROVIDENCE, RI 02914-5300
(401) 435-6600

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD12433
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33036
BLUE SHIELD
RI
01
349005986
MEDICARE GROUP PTAN
RI
01
MD12433
MEDICAL LICENSE
RI
05
RL67411
RI
Enumeration date
07/06/2007
Last updated
04/29/2008
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