Healthcare Provider Details

I. General information

NPI: 1285205302
Provider Name (Legal Business Name): ARYANNA MUSME DE ARAUJO E SOUSA MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2021
Last Update Date: 07/13/2025
Certification Date: 07/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 DUDLEY ST
PROVIDENCE RI
02905-2499
US

IV. Provider business mailing address

101 DUDLEY ST
PROVIDENCE RI
02905-2499
US

V. Phone/Fax

Practice location:
  • Phone: 401-274-1100
  • Fax: 401-453-7683
Mailing address:
  • Phone: 401-274-1100
  • Fax: 401-453-7686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD20584
License Number StateRI
# 3
Primary TaxonomyN
Taxonomy Code207RT0003X
TaxonomyTransplant Hepatology Physician
License Number036.170745
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: