Healthcare Provider Details

I. General information

NPI: 1659865004
Provider Name (Legal Business Name): ANISH ADHIKARI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2018
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 BLACKSTONE VALLEY PL STE 105
LINCOLN RI
02865-1112
US

IV. Provider business mailing address

6 BLACKSTONE VALLEY PL STE 105
LINCOLN RI
02865-1112
US

V. Phone/Fax

Practice location:
  • Phone: 401-762-3838
  • Fax: 401-464-9755
Mailing address:
  • Phone: 401-762-3838
  • Fax: 401-464-9755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberMD21069
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: