Madras, Karen Elissa

Madras, Karen Elissa is an individual health care provider with primary practice located at 6 Blackstone Valley Place Suite 306B, Lincoln RI 02865. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Madras, Karen Elissa can be contacted via phone (401) 334-4021.

Contact Information

Primary practice address
6 Blackstone Valley Place Suite 306B Lincoln RI 02865
Phone: (401) 334-4021
Fax: (401) 334-4886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD08817 Rhode Island

Profile Details

NPI number 1154403970
LBN Legal business name Madras, Karen Elissa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jul 8th, 2007 - about 18 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 1154403970 NPPES
Rhode Island MEDICAID 7010601

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