Ghulam M Surti (NPI# 1861499675, PAC ID# 1456331354) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1861499675 |
| PAC ID by PECOS | 1456331354 |
| Professional Enrollment ID | I20040721001569 |
| Full Name | Ghulam M Surti |
| Address |
345 Blackstone Blvd Suite 307c Providence RI 02906-4800 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1990 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | GERIATRIC PSYCHIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410004 | ROGER WILLIAMS MEDICAL CENTER |
| 410009 | KENT COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 345 Blackstone Blvd, Suite 307c, Providence, RI 02906-4800 | ||
| 825 Chalkstone Ave, Providence, RI 02908-4728 | PROSPECT CHARTERCARE RWMC, LLC | |
| 455 Toll Gate Rd, Warwick, RI 02886-2759 | 4017377010 | AFFINITY PHYSICIANS LLC. |
| Street Address |
345 BLACKSTONE BLVD SUITE 307C |
| City | PROVIDENCE |
| State | RI |
| Zip | 02906-4800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jasmine Appleberry | Clinical Social Worker | 345 Blackstone Blvd, Providence, RI 02906-4800 | |
| C Brandon Qualls | Psychiatry | Psychiatric Physcian Consultants of Ri | 345 Blackstone Blvd, Providence, RI 02906-4861 |
| Lynn Janaway | Certified Clinical Nurse Specialist (cns) | Psychiatric Physcian Consultants of Ri | 345 Blackstone Blvd, Providence, RI 02906-4861 |
| Sheila A Russell | Clinical Social Worker | 345 Blackstone Blvd, Suite 159, Providence, RI 02906-4800 | |
| William Braden | Psychiatry | Psychiatric Physcian Consultants of Ri | 345 Blackstone Blvd, Providence, RI 02906-4861 |
| Ka Wing A Lee | Psychologist, Clinical | Butler Hospital | 345 Blackstone Blvd, Providence, RI 02906-4861 |
| Suzanne J Larlham | Certified Clinical Nurse Specialist (cns) | Psychiatric Physcian Consultants of Ri | 345 Blackstone Blvd, Providence, RI 02906-4861 |
| William Marion Zinno Jr. | Clinical Social Worker | Psychiatric Physcian Consultants of Ri | 345 Blackstone Blvd, Providence, RI 02906-4861 |
| Joanna C Wood | Clinical Social Worker | Psychiatric Physcian Consultants of Ri | 345 Blackstone Blvd, Providence, RI 02906-4861 |
| Frank J Faltus | Psychiatry | 345 Blackstone Blvd, Providence, RI 02906-4800 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Jerry Scaramella | Psychiatry | 480 Hope St, Providence, RI 02906-1631 | |
| Lisa S Schachter | Clinical Social Worker | 475 Hope St, Providence, RI 02906-1639 | |
| Nancy S Remington | Certified Clinical Nurse Specialist (cns) | 475 Hope St, Providence, RI 02906-1639 | |
| Kathryn Roth | Clinical Social Worker | 475 Hope St, Suite 1, Providence, RI 02906-1639 | |
| Danielle M Jadin | Clinical Social Worker | Family Service of Rhode Island, Inc | 55 Hope St, Providence, RI 02906-2001 |
| Alix Stockwood | Clinical Social Worker | Family Service of Rhode Island, Inc | 55 Hope St, Providence, RI 02906-2001 |
| Albert J Pechie | Clinical Social Worker | Family Service of Rhode Island, Inc | 55 Hope St, Providence, RI 02906-2001 |
| Cynthia Rosengard | Psychologist, Clinical | 295 Angell St, Providence, RI 02906-2119 | |
| Michael Zola | Chiropractic | 144 Waterman St, Suite 2, Providence, RI 02906-2126 | |
| Leila K Oconnell | Clinical Social Worker | 144 Waterman St, Suite 1, Providence, RI 02906-2126 | |
| Find all physicians in zip 02906 | |||
| City | PROVIDENCE |
| Zip Code | 02906 |
| Specialty | PSYCHIATRY |
| City + Specialty | PROVIDENCE + PSYCHIATRY |
Please comment or provide details below to improve the information on Ghulam M Surti.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.