Aravind Rao Kokkirala (NPI# 1235116864, PAC ID# 4183645112) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1235116864 |
| PAC ID by PECOS | 4183645112 |
| Professional Enrollment ID | I20181203002742 |
| Full Name | Aravind Rao Kokkirala |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Address |
164 Summit Ave Providence RI 02906-2853 |
| Phone Number | 4017934102 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1999 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 2567455082 |
| Number of Group Practice Members | 600 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 164 Summit Ave, Providence, RI 02906-2853 | 4017934102 | LIFESPAN PHYSICIAN GROUP INC |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Physicians | 560 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roy Souaid | Internal Medicine | Lifespan Physician Group Inc | 1500 Pontiac Ave, Suite 101, Cranston, RI 02920-4486 |
| Amritpal Singh Jawanda | Family Medicine | Lifespan Physician Group Inc | 639 Metacom Ave, Warren, RI 02885-2348 |
| Alisha Lakhani | Rheumatology | Lifespan Physician Group Inc | 407 E Ave, Suite 250, Pawtucket, RI 02860-5290 |
| Leah R Battista | Obstetrics/gynecology | Lifespan Physician Group Inc | 148 W River St, Suite 1g, Providence, RI 02904-2615 |
| Mahmoud Mowafy | Internal Medicine | Lifespan Physician Group Inc | 164 Summit Ave, Providence, RI 02906-2853 |
| Caroline Sizer | Physical Medicine and Rehabilitation | Lifespan Physician Group Inc | 765 Allens Ave, Suite 110, Providence, RI 02905-5443 |
| Christine Michele Leddy | Psychiatry | Lifespan Physician Group Inc | 11 Friendship St, Newport, RI 02840-2209 |
| Dana Siperstein | Psychiatry | Lifespan Physician Group Inc | 167 Point St, Providence, RI 02903-4771 |
| Brady Geronimo Case | Psychiatry | Lifespan Physician Group Inc | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 |
| Maurice Francis Joyce Iii | Anesthesiology | Lifespan Physician Group Inc | 55 Lambert Lind Hwy, Warwick, RI 02886-1074 |
| Street Address |
164 SUMMIT AVE |
| City | PROVIDENCE |
| State | RI |
| Zip | 02906-2853 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mahmoud Mowafy | Internal Medicine | Lifespan Physician Group Inc | 164 Summit Ave, Providence, RI 02906-2853 |
| Deepa Nankani | Internal Medicine | Lifespan Physician Group Inc | 164 Summit Ave, Providence, RI 02906-2853 |
| Lisa J Goldstein | Pathology | The Miriam Hospital | 164 Summit Ave, Providence, RI 02906-2853 |
| Joseph R Lauro | Emergency Medicine | Brown Emergency Medicine | 164 Summit Ave, Providence, RI 02906-2853 |
| Sleiman El Jamal | Neurology | The Miriam Hospital | 164 Summit Ave, Providence, RI 02906-2853 |
| Martin M Miner | Hematology/oncology | The Miriam Hospital | 164 Summit Ave, Providence, RI 02906-2853 |
| Barbara M Ruf | Psychiatry | Lifespan Physician Group Inc | 164 Summit Ave, Providence, RI 02906-2853 |
| Ricky D Grisson Ii | Pathology | The Miriam Hospital | 164 Summit Ave, Providence, RI 02906-2853 |
| Donald Rice | Infectious Disease | Brown Medicine | 164 Summit Ave, Providence, RI 02906-2853 |
| Aaron P Wheeler | Internal Medicine | Lifespan Physician Group Inc | 164 Summit Ave, Providence, RI 02906-2853 |
| 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 | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | PROVIDENCE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Aravind Rao Kokkirala.
| 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.