Kittichai Promrat, MD | |
375 Wampanoag Trl, Suite 202a, Riverside, RI 02915-2212 | |
(401) 649-4030 | |
(401) 649-4031 |
Full Name | Kittichai Promrat |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 32 Years |
Location | 375 Wampanoag Trl, Riverside, Rhode Island |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356398390 | NPI | - | NPPES |
9026349 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | MD10807 (Rhode Island) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Miriam Hospital | Providence, RI | Hospital |
Rhode Island Hospital | Providence, RI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Brown Medicine | 0446159776 | 212 |
Rhode Island Hospital | 8921900044 | 307 |
Entity Name | Brown Medicine |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689626764 PECOS PAC ID: 0446159776 Enrollment ID: O20040219000354 |
Entity Name | Rhode Island Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154537520 PECOS PAC ID: 8921900044 Enrollment ID: O20141017000105 |
Mailing Address | Practice Location Address |
---|---|
Kittichai Promrat, MD 17 Virginia Ave, Suite 107, Providence, RI 02905-4406 Ph: () - | Kittichai Promrat, MD 375 Wampanoag Trl, Suite 202a, Riverside, RI 02915-2212 Ph: (401) 649-4030 |
Tonslyn Toure, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4090 Fax: 401-649-4091 | |
Jonathan A Leviss, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4020 Fax: 401-649-4021 | |
Thomas D Denucci, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 375 Wampanoag Trl, Suite 202a, Riverside, RI 02915 Phone: 401-649-4030 Fax: 401-649-4031 | |
Kristen Tillquist, DO Gastroenterology Medicare: Medicare Enrolled Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4070 Fax: 401-649-4071 | |
Reginald Y Gohh, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Suite 302a, Riverside, RI 02915 Phone: 401-649-4060 Fax: 401-649-4061 | |
Dr. Franklin D Mccool, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl Ste 302b, Riverside, RI 02915 Phone: 401-649-4070 Fax: 401-649-4071 | |
Dr. Lewena Maher, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4040 Fax: 401-649-4041 |