Kasibhatla, Mohit Sourabh

Kasibhatla, Mohit Sourabh is an individual health care provider with primary practice located at 50 Maude St , Providence RI 02908-4325. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Kasibhatla, Mohit Sourabh can be contacted via phone (401) 456-2690.

Contact Information

Primary practice address
50 Maude St Providence RI 02908-4325
Phone: (401) 456-2690
Fax: (401) 456-6540
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 2006-01262 North Carolina
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD12575 Rhode Island

Profile Details

NPI number 1841382660
LBN Legal business name Kasibhatla, Mohit Sourabh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Jan 5th, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841382660 NPPES
Connecticut MEDICAID 008032332
Connecticut Other P00756245
Connecticut Other P01044492
Connecticut MEDICAID MK69589
Connecticut Other 7263727
Connecticut Other P00762785
Connecticut Other P00912570

Popular Providers