Healthcare Provider Details

I. General information

NPI: 1467755637
Provider Name (Legal Business Name): ZAID ALHINAI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2010
Last Update Date: 07/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 WYNDHAM AVE
PROVIDENCE RI
02908-3511
US

IV. Provider business mailing address

117 WYNDHAM AVE
PROVIDENCE RI
02908
US

V. Phone/Fax

Practice location:
  • Phone: 617-501-7299
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301097170
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License NumberMD14791
License Number StateRI
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD14791
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: