Amanullah, Siraj
Amanullah, Siraj is an individual health care provider with primary practice located at 593 Eddy St Claverick 2, Providence RI 02903-4923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Amanullah, Siraj can be contacted via phone (401) 854-2504.Contact Information
Primary practice address
593 Eddy St Claverick 2
Providence RI 02903-4923
Phone: (401) 854-2504
Fax: (401) 854-2519
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD10763 | Rhode Island |
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | MD10763 | Rhode Island |
Profile Details
NPI number | 1952322802 |
---|---|
LBN Legal business name | Amanullah, Siraj |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 23rd, 2006 |
Last updated | Nov 29th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952322802 | NPPES |
Rhode Island | Other | 01/14/2010 | NHPRI |
Rhode Island | Other | 04/15/2009 | NHPRI |
Rhode Island | MEDICAID | 0170861 | NHPRI |
Rhode Island | Other | 12/28/2008 | NHPRI |
Rhode Island | Other | 02/01/2007 | NHPRI |
Rhode Island | MEDICAID | SA47759 | NHPRI |
Rhode Island | Other | 939025129 | NHPRI |
Rhode Island | Other | 1952322802 | NHPRI |
Popular Providers
-
Brown, Linda L
593 Eddy St , Providence RI 02903 -
Chun, Thomas
593 Eddy St Claverick 2, Providence RI 02903-4923 -
Duffy, Susan J
593 Eddy St Claverick 2, Providence RI 02903-4923 -
Zonfrillo, Mark Robert
593 Eddy St Claverick 2, Providence RI 02903-4923 -
Chapman, Laura Lynn
593 Eddy St Claverick 2, Providence RI 02903-4923 -
Palmisciano, Lynne
593 Eddy St Claverick 2, Providence RI 02903-4923 -
Lockhart, Gregory R
593 Eddy St Claverick 2, Providence RI 02903-4923 -
Linakis, James
593 Eddy St Claverick 2, Providence RI 02903-4923