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Individual

SHADI AL EKISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8570
(401) 444-6947
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8570
(401) 444-6947

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
LP02128
RI

Other

Enumeration date
05/20/2011
Last updated
05/20/2011
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