Kunjbala B Sharma (NPI# 1477618528, PAC ID# 8628007796) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1477618528 |
| PAC ID by PECOS | 8628007796 |
| Professional Enrollment ID | I20100119000470 |
| Full Name | Kunjbala B Sharma |
| Organization Legal Name | BLACKSTONE VALLEY COMMUNITY HEALTH CARE INC |
| Address |
9 Chestnut St Central Falls RI 02863-2005 |
| Phone Number | 4017220081 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1969 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8628045762 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410010 | WOMEN & INFANTS HOSPITAL OF RHODE ISLAND |
| 410012 | THE MIRIAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9 Chestnut St, Central Falls, RI 02863-2005 | 4017220081 | BLACKSTONE VALLEY COMMUNITY HEALTH CARE INC |
| Organization Legal Name | BLACKSTONE VALLEY COMMUNITY HEALTH CARE INC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ian M Jacobson | Emergency Medicine | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Daijsia Melena Bubb | Nurse Practitioner | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Nicole Snapper | Nurse Practitioner | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Elana Schwam | Nurse Practitioner | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Anne Barylick | Nurse Practitioner | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Cristina Pacheco | Family Medicine | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Carol S Cancro | Family Medicine | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Tirza Goncalves | Clinical Social Worker | Blackstone Valley Community Health Care Inc | 1000 Broad St, Central Falls, RI 02863-1507 |
| Katherene R Hofstetter | Nurse Practitioner | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Michael D Fine | Family Medicine | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Street Address |
9 CHESTNUT ST |
| City | CENTRAL FALLS |
| State | RI |
| Zip | 02863-2005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| N Richard Archambault | Chiropractic | 9 Chestnut St, Arlington, MA 02474-1225 | |
| Louise Marie Dery Wells | Clinical Social Worker | 9 Chestnut St, Middleboro, MA 02346-2909 | |
| Michael S Siclari | Emergency Medicine | Blackstone Valley Community Health Care Inc | 9 Chestnut St, Central Falls, RI 02863-2005 |
| Alicia Paquin | Nurse Practitioner | Blackstone Valley Community Health Care Inc | 9 Chestnut St, Central Falls, RI 02863-2005 |
| Matthew Bartolotti | Physician Assistant | Blackstone Valley Community Health Care Inc | 9 Chestnut St, Central Falls, RI 02863-2005 |
| Mary Blanchet | Nurse Practitioner | Blackstone Valley Community Health Care Inc | 9 Chestnut St, Central Falls, RI 02863-2005 |
| Paul Miles Matthias | Internal Medicine | Blackstone Valley Community Health Care Inc | 9 Chestnut St, Central Falls, RI 02863-2005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Safa F Wagdi | Ophthalmology | 1002 Broad St, Central Falls, RI 02863-1500 | |
| Gilbert J Altongy | Internal Medicine | 1002 Broad St, Central Falls, RI 02863-1500 | |
| Tirza Goncalves | Clinical Social Worker | Blackstone Valley Community Health Care Inc | 1000 Broad St, Central Falls, RI 02863-1507 |
| Adriana Reyna | Physician Assistant | Blackstone Valley Community Health Care Inc | 1000 Broad St, Central Falls, RI 02863-1507 |
| David A Sam | Family Medicine | Blackstone Valley Community Health Care Inc | 1000 Broad St, Central Falls, RI 02863-1507 |
| Ernesto A Mirabal | Internal Medicine | 1002 Broad St, Suite 3, Central Falls, RI 02863-1510 | |
| Justin L Belanger | Chiropractic | Decrescenzo Chiropractic, Inc | 1084 Broad St, Central Falls, RI 02863-1516 |
| Amanda L Quinones | Chiropractic | Decrescenzo Chiropractic, Inc | 1084 Broad St, Central Falls, RI 02863-1516 |
| Michele R Lancellotti | Chiropractic | Rhode Island Chiropractic Pain Control Clinic, Inc. | 586 Dexter St, Central Falls, RI 02863-2604 |
| City | CENTRAL FALLS |
| Zip Code | 02863 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CENTRAL FALLS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kunjbala B Sharma.
| 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.