Estrada, Elkin O

Estrada, Elkin O is an individual health care provider with primary practice located at 1076 N Main St , Providence RI 02904-5760. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Estrada, Elkin O can be contacted via phone (401) 861-7711.

Contact Information

Primary practice address
1076 N Main St Providence RI 02904-5760
Phone: (401) 861-7711
Fax: (401) 421-5710
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD10888 Rhode Island
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD10888 Rhode Island

Profile Details

NPI number 1811995509
LBN Legal business name Estrada, Elkin O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 12th, 2010 - about 14 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811995509 NPPES
Rhode Island MEDICAID 7009622

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