NPI 1265879555 · live from the CMS NPI Registry
Rongras Damrongwatanasuk, M.D.
Internal Medicine in Providence, RI. National Provider Identifier 1265879555, active.
NPI record
| NPI | 1265879555 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 593 Eddy St, Providence, RI 02903 |
| Practice phone | 401-444-3985 |
| Mailing address | 117 Ellenfield St Ste 101, Providence, RI 02905 |
| Enumerated | May 28, 2013 |
| Last updated | April 9, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Acute Care Hospital | 282N00000X | P28821 (MD) |
| Internal Medicine primary | 207R00000X | MD15813 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.