Individual
MR. SIAVASH GHOREISHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5835 POST ROAD, PLAZA 2 SUITE 110, EAST GREENWICH, RI 02818-2154
(401) 885-3390
(401) 885-8713
Mailing address
5835 POST ROAD, PLAZA 2 SUITE 110, EAST GREENWICH, RI 02818-2154
(401) 885-3390
(401) 885-8713
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD06842
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1200203
UHC
—
01
—
201159
BLUE CHIP
—
01
—
2684
BC
—
01
—
406185
TUTTS
—
05
—
SG00062
—
RI
Enumeration date
09/20/2006
Last updated
05/08/2013
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