Organization
RHODE ISLAND NEUROSURGICAL INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAKASH SAMPATH MD (PHYSICIAN/OWNER)
(401) 273-4155
Entity
Organization
Contact information
Practice address
118 DUDLEY ST, PROVIDENCE, RI 02905-2403
(401) 273-4155
(401) 273-4115
Mailing address
118 DUDLEY ST, PROVIDENCE, RI 02905-2403
(401) 273-4155
(401) 273-4115
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RI52047
—
RI
Enumeration date
11/28/2005
Last updated
06/26/2008
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