Individual
MUSTAFA KAISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(401) 793-2104
(401) 793-4047
Mailing address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(401) 793-2104
(401) 793-4047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD15464
RI
Other
Enumeration date
02/05/2015
Last updated
06/22/2016
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