Surti, Ghulam Mustafa

Surti, Ghulam Mustafa is an individual health care provider with primary practice located at 345 Blackstone Blvd , Providence RI 02906-4800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Surti, Ghulam Mustafa can be contacted via phone (401) 455-6200.

Contact Information

Primary practice address
345 Blackstone Blvd Providence RI 02906-4800
Phone: (401) 455-6200
Fax: (401) 455-6309
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD09937 Rhode Island
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X MD09937 Rhode Island

Profile Details

NPI number 1861499675
LBN Legal business name Surti, Ghulam Mustafa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Feb 28th, 2023 - about 2 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 1861499675 NPPES
New York MEDICAID 02246624
New York Other 1104801349
New York Other 406629
New York MEDICAID GS29847
New York Other P00362436
New York Other 007008181
New York Other 1093831646
New York Other 15-43150
New York Other 23998-5

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