Healthcare Provider Details

I. General information

NPI: 1174845606
Provider Name (Legal Business Name): VAHEY M. PAHIGIAN M.D. , LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2010
Last Update Date: 02/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 ANGELL STREET
PROVIDENCE RI
02906-3293
US

IV. Provider business mailing address

323 ANGELL STREET
PROVIDENCE RI
02906-3293
US

V. Phone/Fax

Practice location:
  • Phone: 401-521-9870
  • Fax: 401-521-5313
Mailing address:
  • Phone: 401-521-9870
  • Fax: 401-521-5313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2569
License Number StateRI

VIII. Authorized Official

Name: DR. VAHEY M. PAHIGIAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 401-521-9870