Individual
MICHAEL KEMAL ATALAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4000
Mailing address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
(401) 453-8220
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
1020842
MA
2085R0202X
Diagnostic Radiology Physician
11156
RI
2085R0202X
Diagnostic Radiology Physician
Primary
MD11156
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003122926
CT MED ASSISTANCE
—
01
—
007010579
HOSPITALPIN
—
01
—
11156
BLUESHIELD
—
01
—
1650203
UNITEDHEALTHPLANS
—
01
—
2018357
MASSMEDICAID
—
01
—
410927
BLUECHIPSENIORS
—
Enumeration date
10/13/2005
Last updated
10/04/2024
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