Healthcare Provider Details

I. General information

NPI: 1902035330
Provider Name (Legal Business Name): SANDY CHAI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SANDY CHIRA M.D.

II. Dates (important events)

Enumeration Date: 07/07/2009
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 CHALKSTONE AVE
PROVIDENCE RI
02908-4734
US

IV. Provider business mailing address

526 MAIN ST STE 302
ACTON MA
01720-3310
US

V. Phone/Fax

Practice location:
  • Phone: 401-273-7100
  • Fax: 401-457-3332
Mailing address:
  • Phone: 978-371-7010
  • Fax: 978-371-0522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD14276
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: