| Plain Street Primarycare Llc | |
|
235 Plain St Ste 304 Providence RI 02905-3241 | |
| (401) 272-0127 | |
| Not Available |
| Full Name | Plain Street Primarycare Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 235 Plain St Ste 304, Providence, Rhode Island |
| Authorized Official Name and Position | Salma Khan (MANAGER) |
| Authorized Official Contact | 8662825040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Plain Street Primarycare Llc 235 Plain St Ste 304 Providence RI 02905-3241 Ph: (401) 272-0127 | Plain Street Primarycare Llc 235 Plain St Ste 304 Providence RI 02905-3241 Ph: (401) 272-0127 |
| NPI Number | 1538936133 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 01/19/2024 |
| Medicare PECOS PAC ID | 3870931058 |
|---|---|
| Medicare Enrollment ID | O20240408000331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538936133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rupal H Thakor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639303258 PECOS PAC ID: 4082865506 Enrollment ID: I20161208001817 |
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