Individual
MOHIT SOURABH KASIBHATLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 MAUDE ST, PROVIDENCE, RI 02908-4325
(401) 456-2690
(401) 456-6540
Mailing address
2234 COLONIAL BLVD, MANAGED CARE DET., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
2006-01262
NC
2085R0001X
Radiation Oncology Physician
Primary
MD12575
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008032332
—
CT
01
—
7263727
AETNA
RI
05
—
MK69589
—
RI
01
—
P00756245
RAILROAD MEDICARE - RWRT
RI
01
—
P00762785
RAILROAD MEDICARE - RADIOSURGERY CENTER OF RI
RI
01
—
P00912570
RAILROAD MEDICARE - SOUTH COUNTY
RI
01
—
P01044492
RAILROAD MEDICARE - SOUTHERN NEW ENGLAND REGIONAL CANCER
RI
Enumeration date
09/29/2006
Last updated
01/05/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us