Healthcare Provider Details

I. General information

NPI: 1366858987
Provider Name (Legal Business Name): ARAVIND NARAYAN MOHANDAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2014
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 SOCKANOSSET CROSS RD
CRANSTON RI
02920-5536
US

IV. Provider business mailing address

65 SOCKANOSSET CROSS RD
CRANSTON RI
02920-5536
US

V. Phone/Fax

Practice location:
  • Phone: 401-886-4830
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD17641
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number4301105001
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number2022034268
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: