Healthcare Provider Details

I. General information

NPI: 1609053347
Provider Name (Legal Business Name): US CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2008
Last Update Date: 07/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 CHALKSTONE AVE
PROVIDENCE RI
02908-4220
US

IV. Provider business mailing address

955 CHALKSTONE AVE
PROVIDENCE RI
02908-4220
US

V. Phone/Fax

Practice location:
  • Phone: 401-228-7585
  • Fax: 401-228-7588
Mailing address:
  • Phone: 401-228-7585
  • Fax: 401-228-7588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberMD10308
License Number StateRI

VIII. Authorized Official

Name: HAFEEZ KHAN
Title or Position: PHYSICIAN OWNER
Credential: MD
Phone: 401-228-7585