NPI 1003392689 · live from the CMS NPI Registry
Eugenie Atallah
Psychiatry & Neurology, Neurology in Providence, RI. National Provider Identifier 1003392689, active.
NPI record
| NPI | 1003392689 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 593 Eddy St, Providence, RI 02903 |
| Practice phone | 401-606-2645 |
| Mailing address | 117 Ellenfield St Ste 101, Providence, RI 02905 |
| Enumerated | July 17, 2018 |
| Last updated | April 10, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurocritical Care | 2084A2900X | MD19563 (RI) |
| Psychiatry & Neurology, Neurology | 2084N0400X | GA91180 (GA) |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | MD19563 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.