MARYAM INANLOO (NPI# 1205077633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205077633 |
| Entity Type | Individual |
| Full Name | MARYAM INANLOO |
| Credential | M.D. |
| Practice Address |
877 Chalkstone Ave Providence RI 02908-4728 |
| Mailing Address |
903 Providence Pl Apt #204 Providence RI 02903-7000 |
| Practice Telephone | 4014562179 |
| Mailing Telephone | 5712200854 |
| Enumeration Date | 2009-03-15 |
| Last Update Date | 2009-03-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | LP01420 | RI | Allopathic & Osteopathic Physicians |
| Street Address |
877 CHALKSTONE AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02908-4728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720045438 | Stephen T Mernoff | Psychiatry & Neurology | 877 Chalkstone Ave, Providence, RI 02908-4728 | 2006-04-27 |
| 1235370933 | Nazeer Mohammed Jalal | Internal Medicine | 877 Chalkstone Ave, Resident's Practice, Providence, RI 02908-4728 | 2009-03-10 |
| 1528208477 | Alexandro Zarruk | Internal Medicine | 877 Chalkstone Ave, Providence, RI 02908-4728 | 2009-03-04 |
| 1417908021 | Oscar Bernal | Psychiatry & Neurology | 877 Chalkstone Ave, Providence, RI 02908-4728 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771900 | Horizon Wellness | Clinic/Center | 1339 Smith St, North Providence, RI 02908 | 2017-10-12 |
| 1477098069 | Beth Perry | Nurse Practitioner | 830 Chalstone Ave., Providence, RI 02908 | 2017-01-05 |
| 1659788735 | Brandi Kimble | Podiatrist | 825 Chalkstone Avenue, Providence, RI 02908 | 2014-07-21 |
| 1912253675 | Roger Williams Medical Center | Long Term Care Hospital | 25 Chalkstone Ave, Providence, RI 02908 | 2012-07-31 |
| 1669768818 | Elisa Semedo | Physical Therapist | 285 Promenade Street, Providence, RI 02908 | 2011-06-27 |
| 1255655502 | Caregiver Homes of Rhode Island Inc. | Custodial Care Facility | 235 Promenade Street, Providence, RI 02908 | 2010-03-16 |
| 1487884987 | Professional Ambulance LLC | Ambulance | 52 River Ave, Providence, RI 02908 | 2009-07-17 |
| 1609065804 | Stephen W Davis | Family Medicine | 299 Promenade Street, Nhpri, Providence, RI 02908 | 2007-10-24 |
| 1205053899 | John R Ricci | Dentist | 1252 Smith St, Providence, RI 02908 | 2007-04-18 |
| 1871718718 | Brett C Auclaire | Nurse Practitioner | 40 Candace Street, Providence, RI 02908 | 2007-04-16 |
| Find all providers in zip 02908 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871115147 | James Lewis Scharfen | Internal Medicine | 593 Eddy St Rm 126, Providence, RI 02903-4923 | 2020-05-10 |
| 1083271241 | Perry Mayo-malasky | Internal Medicine | 201 Angell St Apt 7, Providence, RI 02906-1236 | 2019-05-23 |
| 1871084509 | Jaclyn Mckenna | Internal Medicine | Rhode Island Hospital 593 Eddy Street, Providence, RI 02903 | 2018-05-29 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1952824831 | Isabelle Malhame | Internal Medicine | 101 Dudley St # 3352, Providence, RI 02905-2401 | 2017-07-21 |
| 1669854634 | Lissy Hu | Internal Medicine | 150 Union St, Providence, RI 02903-1790 | 2015-06-25 |
| 1154718161 | Parvati Singh | Internal Medicine | 164 Summit Ave Ste 221, Providence, RI 02906-2894 | 2015-04-17 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1831459874 | Ryan Steven Hirschfeld | Internal Medicine | 27 Dryden Ln Ste 100, Providence, RI 02904-2782 | 2012-05-24 |
| 1114286739 | Robert Clyde Heffron | Internal Medicine | 25 Emeline St, Providence, RI 02906-3305 | 2012-05-16 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02908 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.