Individual
CATHLEEN ANN WHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(401) 649-4050
(401) 649-4051
Mailing address
110 ELM ST FL 3, PROVIDENCE, RI 02903-4626
(401) 443-4992
(401) 537-7241
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 10375
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000022110
B/C
RI
01
—
04-03194
UNITED HEALTH CARE
RI
01
—
103750
TUFTS HEALTH PLAN
RI
01
—
110217181
RAILROAD MEDICARE
RI
01
—
3820
NEIGHBORHOOD HEALTH
RI
01
—
406988
BCHIP
RI
01
—
697702
HARVARD PILGRIM HEALTH
RI
05
—
CW33179
—
RI
Enumeration date
08/03/2005
Last updated
09/27/2021
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