| Elia Shammas Md Inc. | |
|
One Randall Square Suite 302 Providence RI 02904-2773 | |
| (401) 831-6682 | |
| (401) 272-5202 |
| Full Name | Elia Shammas Md Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | One Randall Square, Providence, Rhode Island |
| Authorized Official Name and Position | Elia Shammas (OWNER) |
| Authorized Official Contact | 4018316682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elia Shammas Md Inc. One Randall Square Suite 302 Providence RI 02904-2773 Ph: (401) 831-6682 | Elia Shammas Md Inc. One Randall Square Suite 302 Providence RI 02904-2773 Ph: (401) 831-6682 |
| NPI Number | 1104153683 |
|---|---|
| Provider Enumeration Date | 11/04/2009 |
| Last Update Date | 11/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104153683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 3992 (Rhode Island) | Primary |
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