-- Siraj Amanullah --
MD | Pediatric Emergency Medicine | Male
-- Siraj Amanullah --, MD is a Providence, Rhode Island based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of -- Siraj Amanullah -- is
Po Box 9484, Providence, Rhode Island - 02940-9484. He can be contacted on phone at
401-854-2500 and fax number 401-854-2519.
-- Siraj Amanullah -- is a sole proprietor of his business.
NPI number (Unique professional ID) for -- Siraj Amanullah -- is
1952322802 which was assigned by NPPES on 23 Jul, 2006 and it was last updated on 19 May, 2022.
-- Siraj Amanullah -- license number is
MD10763 for Pediatrics, Pediatric Emergency Medicine (2080P0204X) in Rhode Island.
-- Siraj Amanullah -- has special qualifications to manage emergencies in infants and children.
Complete Profile:
-- Siraj Amanullah -- basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Emergency Medicine |
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| Provider Name : | -- Siraj Amanullah -- |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
-- Siraj Amanullah -- address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | Po Box 9484
Providence, RI, 02940-9484
United States |
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| Phone Number : | 401-854-2500 |
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| Fax Number : | 401-854-2519 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1952322802 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 Jul, 2006 |
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| Last Updated On : | 19 May, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for -- Siraj Amanullah -- are as mentioned. Primary taxonomy code for -- Siraj Amanullah --, MD is
2080P0204X (Pediatrics, Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MD10763 | RI |
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | Yes | MD10763 | RI |
Legacy Identifiers:
Other legacy medical identifiers of -- Siraj Amanullah -- such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 007056520 | MEDICARE ID-Type Unspecified | RI | |
| 01/14/2010 | Other (non-Medicare) | RI | NHPRI |
| 0170861 | MEDICAID | MA | |
| 02/01/2007 | Other (non-Medicare) | RI | BCBS |
| 04/15/2009 | Other (non-Medicare) | RI | United HealthCare |
| 12/28/2008 | Other (non-Medicare) | MA | Tufts Health Plan |
| 1952322802 | Other (non-Medicare) | RI | NPI |
| 939025129 | Other (non-Medicare) | RI | RI Medicare Group Number |
| I15124 | MEDICARE UPIN | RI | |
| SA47759 | MEDICAID | RI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 593 Eddy St, Claverick 2
Providence, RI, 02903-4923
United States |
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| Phone Number : | 401-854-2504 |
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| Fax Number : | 401-854-2519 |
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Business Location:
Patients can refer following map for directions to
-- Siraj Amanullah -- practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.