Individual
MUHAMMAD EHTISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 BREWSTER ST, PAWTUCKET, RI 02860-4474
(401) 729-2258
(401) 729-3343
Mailing address
111 BREWSTER ST, PAWTUCKET, RI 02860-4474
(401) 729-2258
(401) 729-3343
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LP03485
RI
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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