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NPI Code Detail

MEDICARE: RIKHI J D'SOUZA DO

MEDICARE: RIKHI J D'SOUZA DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianDO00354RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2RI354OTHERRIRI BLUE CROSS
3003178OTHERRIHMORI OF RI
4DO00354OTHERRISTATE LICENSE
50400459OTHERRIUNITEDHEALTHCARE

General Provider Information

NPI Number : 1215924063
Entity Type Code : Individual
Provider Name (Legal Business Name) : RIKHI J D'SOUZA DO
Provider Business Mailing Address
First Line : 481 KINGSTOWN RD
Second Line :
City : WAKEFIELD
State : RI
Zip : 02879-3626
Country : US
Telephone Number : 401-789-0283
Fax Number : 401-789-0314
Provider Business Practice Location Address
First Line : 481 KINGSTOWN RD
Second Line :
City : WAKEFIELD
State : RI
Zip : 02879-3626
Country : US
Telephone Number : 401-789-0283
Fax Number : 401-789-0314
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2005
Last Update Date : 07/08/2007

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Directions to “ RIKHI J D'SOUZA DO” Practice Location

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