JOHN LEE M.D. NPI 1740630995

NPI Information

NPI: 1740630995
Provider Name: JOHN LEE, M.D.
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

PECOS Registration: Yes

Address:
593 EDDY STREET
DEPARTMENT OF RADIOLOGY
PROVIDENCE, RI
ZIP 02903
Phone: (919) 610-9448
Get Directions

John Lee, M.D. is a vascular and interventional radiology radiology in Providence, RI with 8 years of experience. 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. John Lee, M.D. NPI is 1740630995. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2016

The provider's business location address is:

593 EDDY STREET
DEPARTMENT OF RADIOLOGY
PROVIDENCE, RI
ZIP 02903
Phone: (919) 610-9448

The NPI 1740630995 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/20/2016 and was last updated on 5/19/2022.

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	2085R0202X	Radiology	Diagnostic Radiology	270807	MASSACHUSETTS	No
2	2085R0202X	Radiology	Diagnostic Radiology	MD17642	RHODE ISLAND	No
3	390200000X	Student in an Organized Health Care Education/Training Program		MT211391	PENNSYLVANIA	No
4	2085R0204X	Radiology	Vascular & Interventional Radiology	MD17642	RHODE ISLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	291819	OTHER	MASSACHUSETTS	MA LICENSE
2	MD17642	OTHER	RHODE ISLAND	RI LICENSE

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

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