Organization
BRAIN & SPINE NEUROSURGICAL INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMIT KUMAR DAS MD (PRESIDENT)
(401) 270-5395
Entity
Organization
Contact information
Practice address
1526 ATWOOD AVENUE, SUITE 200, JOHNSTON, RI 02919
(401) 270-5395
(401) 270-7635
Mailing address
25 THURBER BLVD, UNIT 6, SMITHFIELD, RI 02917-1816
(401) 404-2975
(404) 404-2976
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207T00000X
Neurological Surgery Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD50629
—
RI
Enumeration date
06/13/2006
Last updated
04/18/2019
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