Individual
SHIQIANG TIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 KETTLE POINT AVE, EAST PROVIDENCE, RI 02914-5375
(401) 330-1450
Mailing address
PO BOX 1119, PROVIDENCE, RI 02901-1119
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2010022104
MO
208100000X
Physical Medicine & Rehabilitation Physician
9407405
KS
208VP0014X
Interventional Pain Medicine Physician
60586-20
WI
208VP0014X
Interventional Pain Medicine Physician
Primary
MD16583
RI
Other
Enumeration date
07/19/2011
Last updated
11/13/2019
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