Individual
RIKHI J D'SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
481 KINGSTOWN RD, WAKEFIELD, RI 02879-3626
(401) 789-0283
(401) 789-0314
Mailing address
481 KINGSTOWN RD, WAKEFIELD, RI 02879-3626
(401) 789-0283
(401) 789-0314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO00354
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003178
HMORI OF RI
RI
01
—
0400459
UNITEDHEALTHCARE
RI
05
—
7001598
—
RI
01
—
DO00354
STATE LICENSE
RI
01
—
RI354
RI BLUE CROSS
RI
Enumeration date
10/05/2005
Last updated
07/08/2007
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