Individual
DR. MARYAM RAYANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
36 BRIDGE WAY, PASCOAG, RI 02859-3131
(401) 568-7661
(401) 568-7949
Mailing address
76 STONEY HILL RD, SHREWSBURY, MA 01545-4062
(508) 845-5016
(401) 568-7949
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
RI02861
RI
1223G0001X
General Practice Dentistry
MA21158
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
257323
UNITED HEALTH
RI
01
—
8458-7
BCBS
RI
01
—
AA34986
HARVARD PILGRIM
RI
05
—
MR54272
—
RI
Enumeration date
09/01/2006
Last updated
03/28/2008
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