Individual
DR. PRABJOT CHANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 HOPPIN ST STE 202, PROVIDENCE, RI 02903
(401) 444-6551
(401) 444-3611
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
223857-1
NY
207W00000X
Ophthalmology Physician
Primary
MD16313
RI
207WX0120X
Cornea and External Diseases Specialist Physician
MD16313
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02219170
—
NY
01
—
MD16313
LICENSE
RI
Enumeration date
03/22/2007
Last updated
10/29/2021
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