GAUTAM MIRCHANDANI (NPI# 1255359071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255359071 |
| Entity Type | Individual |
| Full Name | GAUTAM MIRCHANDANI |
| Credential | MD |
| Practice Address |
65 Sockanosset Cross Rd Cranston RI 02920-5536 |
| Practice Telephone | 4018864872 |
| Practice Fax Number | 8887797670 |
| Mailing Telephone | 4018864872 |
| Mailing Fax Number | 8887797670 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2016-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
MD15248 | RI | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD15248 | RI | Allopathic & Osteopathic Physicians |
| Street Address |
65 SOCKANOSSET CROSS RD |
| City | CRANSTON |
| State | RI |
| Zip Code | 02920-5536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326070244 | X-ray Associates, Inc | Radiology | 65 Sockanosset Cross Rd, Cranston, RI 02920-5536 | 2006-07-07 |
| 1568720266 | Olalesi Osunsade | Radiology | 65 Sockanosset Cross Rd, Cranston, RI 02920 | 2012-05-01 |
| 1134301922 | Joshua Chaman Leighton | Radiology | 65 Sockanosset Cross Rd, Cranston, RI 02920-5536 | 2007-12-04 |
| 1285815787 | Martha Lopez | Radiology | 65 Sockanosset Cross Rd, Cranston, RI 02920-5536 | 2007-11-27 |
| 1215124391 | Aamir Ahmad | Radiology | 65 Sockanosset Cross Rd, Cranston, RI 02920-5536 | 2007-10-02 |
| 1104044130 | Sami Abedin | Radiology | 65 Sockanosset Cross Rd, Cranston, RI 02920-5536 | 2007-04-23 |
| 1497897870 | Rhode Island Primary Care, Inc. | Non-Pharmacy Dispensing Site | 65 Sockanosset Cross Rd, Suite 301, Cranston, RI 02920-5536 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184262198 | Beacon Dental Health Ri, PC | Clinic/Center | Beacon Dental Health Ri, P.C., 1090 New London Avenue, Cranston, RI 02920 | 2019-12-20 |
| 1821642240 | Jaime L Nixon | Dietitian, Registered | 444 Meshanticut Valley Parkway, Apt 37, Cranston, RI 02920 | 2019-07-25 |
| 1164923553 | Codac Inc | Peer Specialist | 3 Regan Ct, Cranston, RI 02920 | 2018-02-22 |
| 1144673096 | Joanne Le | Optometrist | 1400 Oaklawn Ave., Cranston, RI 02920 | 2016-07-15 |
| 1053790733 | Alanna Conley | Speech-Language Pathologist | 45 Sockanosset Cross Rd Ste 100, Cranston, RI 02920 | 2015-05-27 |
| 1114322740 | Nicole Enos | Physical Therapist | 51 Sockanosset Crossroad, Cranston, RI 02920 | 2014-10-24 |
| 1841622313 | Courtney Faiith Oliver | Occupational Therapy Assistant | 150 Midway Road, Suite 173, Cranston, RI 02920 | 2013-08-06 |
| 1386086403 | Sarah Gonzalez | Marriage & Family Therapist | 105 Sockanosset Cross Rd Ste 102, Cranston, RI 02920 | 2013-07-18 |
| 1902246788 | Amanda Lee Zarriello | Physical Medicine & Rehabilitation | 10 Worthington Rd, Cranston, RI 02920 | 2013-06-26 |
| 1962742528 | Yatyee Lee | Counselor | 141 Elmwood Avenue, Cranston, RI 02920 | 2013-02-19 |
| Find all providers in zip 02920 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922310002 | Natalia M Marks | Radiology | 65 Sockanosset Crossroad, Cranston, RI 02920 | 2010-07-06 |
| 1265665707 | Cynthia Lynn Wallentin | Radiology | 239 Garden City Dr, Cranston, RI 02920-8215 | 2009-09-01 |
| 1427298215 | Ayesha Adjei Sarpong | Radiology | 65 Oaklawn Ave, Apt 103, Cranston, RI 02920-9386 | 2009-03-06 |
| 1053562702 | Richard Ellis Land | Radiology | 14 Coldbrook Ct, Cranston, RI 02920-3636 | 2008-09-30 |
| 1326070244 | X-ray Associates, Inc | Radiology | 65 Sockanosset Cross Rd, Cranston, RI 02920-5536 | 2006-07-07 |
| 1043200504 | David W Rowe | Radiology | 65 Sockanosset Crossroads, Cranston, RI 02920-6068 | 2005-10-26 |
| 1568720266 | Olalesi Osunsade | Radiology | 65 Sockanosset Cross Rd, Cranston, RI 02920 | 2012-05-01 |
| 1134301922 | Joshua Chaman Leighton | Radiology | 65 Sockanosset Cross Rd, Cranston, RI 02920-5536 | 2007-12-04 |
| 1285815787 | Martha Lopez | Radiology | 65 Sockanosset Cross Rd, Cranston, RI 02920-5536 | 2007-11-27 |
| 1215124391 | Aamir Ahmad | Radiology | 65 Sockanosset Cross Rd, Cranston, RI 02920-5536 | 2007-10-02 |
| Find all providers in CRANSTON | ||||
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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.