Individual
KITTICHAI PROMRAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
375 WAMPANOAG TRL, RIVERSIDE, RI 02915-2232
(401) 649-4030
(401) 649-4031
Mailing address
DEPT 3010, PO BOX 986524, BOSTON, MA 02298-6524
(401) 443-4992
(401) 784-4913
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD10807
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9026349
—
RI
Enumeration date
05/27/2006
Last updated
11/17/2025
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