NPI 1497347041 · live from the CMS NPI Registry
Coastal Medical Physicians, INC.
Radiology, Diagnostic Radiology in Providence, RI. National Provider Identifier 1497347041, active.
NPI record
| NPI | 1497347041 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 10 Davol Sq Ste 300, Providence, RI 02903 |
| Practice phone | 401-421-4000 |
| Mailing address | 117 Ellenfield St Ste 101, Providence, RI 02905 |
| Enumerated | February 5, 2021 |
| Last updated | October 22, 2021 |
| Authorized official | David Kirshner, Cfo |
| Other names | Coastal Medical |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Body Imaging | 2085B0100X | — |
| 2085N0700X | — | |
| Internal Medicine, Magnetic Resonance Imaging (MRI) | 207RM1200X | — |
| Radiology, Diagnostic Radiology primary | 2085R0202X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.