Healthcare Provider Details

I. General information

NPI: 1811296692
Provider Name (Legal Business Name): UNITED HOSPITALIST AND INTENSIVIST GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2011
Last Update Date: 04/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 JOHN A CUMMINGS WAY BOX 3
WOONSOCKET RI
02895-3224
US

IV. Provider business mailing address

63 EDDIE DOWLING HWY SUITE 3
NORTH SMITHFIELD RI
02896-7322
US

V. Phone/Fax

Practice location:
  • Phone: 401-766-6066
  • Fax: 401-766-6672
Mailing address:
  • Phone: 401-597-5622
  • Fax: 401-597-5623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: FADI F AL-BILBEISI
Title or Position: PRESIDENT
Credential: MD
Phone: 401-597-5622