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NPI Code Detail

MEDICARE: KAZI SALAHUDDIN MD

MEDICARE:   KAZI  SALAHUDDIN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianMD10177RI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2007059460OTHERRIMEDICARE ID-TYPE UNSPECIFIED

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1408610OTHERRIBLUE CHIP
330881-8OTHERRIBLUE CROSS
41093831646OTHERBUTLER HOSPITAL PROFESSIONAL BILLING OFFICE
51104801349OTHERRIBUTLER HOSPITAL NPI
61104847946OTHERRITHE PROVIDENCE CENTER NPI
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
815-14122OTHERRIUNITED BEHAVIORAL HEALTH

General Provider Information

NPI Number : 1558306225
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAZI SALAHUDDIN MD
Provider Business Mailing Address
First Line : 528 N MAIN ST
Second Line :
City : PROVIDENCE
State : RI
Zip : 02904-5757
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 520 HOPE ST
Second Line :
City : PROVIDENCE
State : RI
Zip : 02906-2532
Country : US
Telephone Number : 401-276-4155
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2006
Last Update Date : 03/31/2009

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Directions to “ KAZI SALAHUDDIN MD” Practice Location

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