Amanullah, Siraj

Amanullah, Siraj is an individual health care provider with primary practice located at 593 Eddy St Claverick 2, Providence RI 02903-4923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Amanullah, Siraj can be contacted via phone (401) 854-2504.

Contact Information

Primary practice address
593 Eddy St Claverick 2 Providence RI 02903-4923
Phone: (401) 854-2504
Fax: (401) 854-2519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD10763 Rhode Island
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MD10763 Rhode Island

Profile Details

NPI number 1952322802
LBN Legal business name Amanullah, Siraj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2006
Last updated Nov 29th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952322802 NPPES
Rhode Island Other 01/14/2010 NHPRI
Rhode Island Other 04/15/2009 NHPRI
Rhode Island MEDICAID 0170861 NHPRI
Rhode Island Other 12/28/2008 NHPRI
Rhode Island Other 02/01/2007 NHPRI
Rhode Island MEDICAID SA47759 NHPRI
Rhode Island Other 939025129 NHPRI
Rhode Island Other 1952322802 NHPRI

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