NPI 1508854472 · live from the CMS NPI Registry
Peter Thomas Evangelista, MD
Radiology, Diagnostic Radiology in Warwick, RI. National Provider Identifier 1508854472, active.
NPI record
| NPI | 1508854472 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 125 Metro Center Blvd Ste 2000, Warwick, RI 02886 |
| Practice phone | 401-432-2520 |
| Enumerated | October 13, 2005 |
| Last updated | April 2, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | MD11408 (RI) |
| Radiology, Diagnostic Radiology | 2085R0202X | 217024 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.