PROVIDENCE INTERVENTIONAL ASSOCIATES II LLC NPI 1306123476

NPI Information

NPI: 1306123476
Provider Name: PROVIDENCE INTERVENTIONAL ASSOCIATES II LLC
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
100 HIGHLAND AVE STE 100
PROVIDENCE, RI
ZIP 02906
Phone: (401) 277-9729
Get Directions

PROVIDENCE INTERVENTIONAL ASSOCIATES II LLC is a vascular and interventional radiology radiology in Providence, RI. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. PROVIDENCE INTERVENTIONAL ASSOCIATES II LLC NPI is 1306123476. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 HIGHLAND AVE STE 100
PROVIDENCE, RI
ZIP 02906-740
Phone: (401) 277-9729
Fax: (401) 277-9730

The provider's authorized official is Jonah Licht .
The authorized official title is Owner and has the following contact phone number (401) 277-9729.

The enumeration date for this NPI number is 11/3/2011 and was last updated on 7/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology			No
2	2085R0204X	Radiology	Vascular & Interventional Radiology			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »