Healthcare Provider Details

I. General information

NPI: 1720681000
Provider Name (Legal Business Name): RHODE ISLAND HEALTH GROUP PAIN MANAGEMENT, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2020
Last Update Date: 10/10/2023
Certification Date: 10/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 EDDIE DOWLING HWY
NORTH SMITHFIELD RI
02896-7322
US

IV. Provider business mailing address

65 EDDIE DOWLING HWY
NORTH SMITHFIELD RI
02896-7305
US

V. Phone/Fax

Practice location:
  • Phone: 401-356-4088
  • Fax: 401-671-6139
Mailing address:
  • Phone: 401-597-5353
  • Fax: 401-769-4555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: NASIR A BHATTI
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 401-356-4088