Healthcare Provider Details

I. General information

NPI: 1174295406
Provider Name (Legal Business Name): RHODE ISLAND HEALTH GROUP PRIMACARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2021
Last Update Date: 03/07/2022
Certification Date: 03/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 EDDIE DOWLING HWY STE 1
NORTH SMITHFIELD RI
02896-7322
US

IV. Provider business mailing address

63 EDDIE DOWLING HWY STE 1
NORTH SMITHFIELD RI
02896-7322
US

V. Phone/Fax

Practice location:
  • Phone: 401-769-2222
  • Fax: 401-769-4555
Mailing address:
  • Phone: 401-769-2222
  • Fax: 401-769-4555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: NASIR ALAM BHATTI
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 401-597-5353