MOHIT SOURABH KASIBHATLA (NPI# 1841382660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841382660 |
| Entity Type | Individual |
| Full Name | MOHIT SOURABH KASIBHATLA |
| Credential | MD |
| Practice Address |
50 Maude St Providence RI 02908-4325 |
| Mailing Address |
2234 Colonial Blvd Managed Care Det. Fort Myers FL 33907-1412 |
| Practice Telephone | 4014562690 |
| Practice Fax Number | 4014566540 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2012-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MD12575 | RI | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
2006-01262 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | AETNA | 7263727 | 01 |
| RI | RAILROAD MEDICARE - SOUTH COUNTY | P00912570 | 01 |
| RI | RAILROAD MEDICARE - RADIOSURGERY CENTER OF RI | P00762785 | 01 |
| CT | 008032332 | 05 | |
| RI | RAILROAD MEDICARE - SOUTHERN NEW ENGLAND REGIONAL CANCER | P01044492 | 01 |
| RI | RAILROAD MEDICARE - RWRT | P00756245 | 01 |
| RI | MK69589 | 05 |
| Street Address |
50 MAUDE ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02908-4325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013901248 | Daniel N Valicenti | Internal Medicine | 50 Maude St, 4th Floor, Providence, RI 02908-4325 | 2005-09-02 |
| 1871063891 | Integrated Wound Care Rhode Island Pllc | General Practice | 50 Maude St, Providence, RI 02908-4325 | 2018-12-03 |
| 1811402100 | Prospect Chartercare Home Health and Hospice, LLC | Registered Nurse | 50 Maude St, Providence, RI 02908-4325 | 2017-12-07 |
| 1871947093 | Samantha Mossman | Dietitian, Registered | 50 Maude St, Roger Willaims Oncology Center, Providence, RI 02908-4325 | 2016-04-14 |
| 1841679503 | Rui Cheng | Dermatology | 50 Maude St, Providence, RI 02908-4325 | 2015-05-27 |
| 1437544111 | Prospect Chartercare Physicians LLC | Clinic/Center | 50 Maude St, Providence, RI 02908-4325 | 2015-03-31 |
| 1083012173 | New University Medical Group LLC | Internal Medicine | 50 Maude St, Providence, RI 02908-4325 | 2014-12-05 |
| 1912322918 | Prospect Chartercare Rwmc, LLC | Home Health | 50 Maude St, Providence, RI 02908-4325 | 2014-02-27 |
| 1457776452 | Prospect Chartercare Elmhurst, LLC | Skilled Nursing Facility | 50 Maude St, Providence, RI 02908-4325 | 2014-02-27 |
| 1942634407 | Shareen Holly | Psychologist | 50 Maude St, Elmhurst Extended Bldg, 5th Fl, Providence, RI 02908-4325 | 2013-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771900 | Horizon Wellness | Clinic/Center | 1339 Smith St, North Providence, RI 02908 | 2017-10-12 |
| 1477098069 | Beth Perry | Nurse Practitioner | 830 Chalstone Ave., Providence, RI 02908 | 2017-01-05 |
| 1659788735 | Brandi Kimble | Podiatrist | 825 Chalkstone Avenue, Providence, RI 02908 | 2014-07-21 |
| 1912253675 | Roger Williams Medical Center | Long Term Care Hospital | 25 Chalkstone Ave, Providence, RI 02908 | 2012-07-31 |
| 1669768818 | Elisa Semedo | Physical Therapist | 285 Promenade Street, Providence, RI 02908 | 2011-06-27 |
| 1255655502 | Caregiver Homes of Rhode Island Inc. | Custodial Care Facility | 235 Promenade Street, Providence, RI 02908 | 2010-03-16 |
| 1487884987 | Professional Ambulance LLC | Ambulance | 52 River Ave, Providence, RI 02908 | 2009-07-17 |
| 1609065804 | Stephen W Davis | Family Medicine | 299 Promenade Street, Nhpri, Providence, RI 02908 | 2007-10-24 |
| 1205053899 | John R Ricci | Dentist | 1252 Smith St, Providence, RI 02908 | 2007-04-18 |
| 1871718718 | Brett C Auclaire | Nurse Practitioner | 40 Candace Street, Providence, RI 02908 | 2007-04-16 |
| Find all providers in zip 02908 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629545652 | Brown Urology, Inc. | Radiology | 827 N Main St Ste 4, Providence, RI 02904-5751 | 2018-10-29 |
| 1750644662 | Esther Yu | Radiology | 593 Eddy St., R.i. Hospital Rad/onc Dept / Apc Basement, Providence, RI 02903 | 2012-06-18 |
| 1538162508 | Scott A. Triedman | Radiology | 825 N Main St, Providence, RI 02904-5707 | 2005-05-24 |
| 1427525583 | Brown Urology, Inc. | Radiology | 2 Dudley St Ste 185, Providence, RI 02905-3247 | 2018-10-26 |
| 1467973099 | Brown Urology, Inc. | Radiology | 195 Collyer St Ste 201, Providence, RI 02904-1869 | 2017-07-05 |
| 1598150708 | Chelsea Miller | Radiology | 110 Lockwood St, Providence, RI 02903-4801 | 2015-04-03 |
| 1821433053 | Paul P Koffer | Radiology | 593 Eddy St, Providence, RI 02903 | 2013-05-01 |
| 1578726261 | Radiosurgery Center of Rhode Island LLC | Radiology | 593 Eddy St, Physicians' Office Building, Suite 130, Providence, RI 02903-4923 | 2008-07-03 |
| 1023278157 | Kara Lynne Leonard | Radiology | 593 Eddy St, Rih Radiation Oncology, Providence, RI 02903-4923 | 2008-06-12 |
| 1285893248 | Alexandra Sherman | Radiology | 50 Maude St, Providence, RI 02908-4325 | 2008-06-05 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02908 |
Please comment or provide details below to improve the information on MOHIT SOURABH KASIBHATLA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.