Individual
DR. PRAKASH B. CHOUGULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 TOLL GATE RD, WARWICK, RI 02886-2715
(401) 732-2300
(401) 738-3450
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD06662
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008067185
—
CT
01
—
0219505
CIGNA
RI
01
—
764228
TUFTS
RI
01
—
AA507739
HUMANA SCRT
RI
01
—
AA507740
HUMANA RWRT
RI
01
—
AA507747
HUMANA SNERC
RI
01
—
P01703481
RR MEDICARE RWRT
RI
01
—
P01703483
RR MEDICARE SNERC
RI
01
—
P01728458 - SCRT
RR MEDICARE
RI
Enumeration date
10/05/2005
Last updated
12/01/2016
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