| Vincent M Harisaran, MD | |
|
450 Veterans Memorial Pkwy, Bldg 14, East Providence, RI 02914-5300 | |
| (401) 435-8488 | |
| (401) 435-6694 |
| Full Name | Vincent M Harisaran |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 19 Years |
| Location | 450 Veterans Memorial Pkwy, East Providence, 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 |
|---|---|---|---|
| 1699977744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | LP01080 (Rhode Island) | Secondary |
| 208800000X | Urology | CMD14133 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Miriam Hospital | Providence, RI | Hospital |
| Rhode Island Hospital | Providence, RI | Hospital |
| Our Lady Of Fatima Hospital | North providence, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brown Urology, Inc. | 7810254513 | 29 |
| Entity Name | The Miriam Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831362813 PECOS PAC ID: 6901796408 Enrollment ID: O20081016000420 |
| Entity Name | Brown Urology, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467973099 PECOS PAC ID: 7810254513 Enrollment ID: O20171206000082 |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent M Harisaran, MD 450 Veterans Memorial Pkwy, Bldg 14, East Providence, RI 02914-5300 Ph: (401) 435-8488 | Vincent M Harisaran, MD 450 Veterans Memorial Pkwy, Bldg 14, East Providence, RI 02914-5300 Ph: (401) 435-8488 |
John F Maynard, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: Metacomet Office Park, 450 Veterans Parkway, East Providence, RI 02914 Phone: 401-435-8486 | |
Madeline Jones Cancian, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 450 Veterans Memorial Pkwy Bldg 14, East Providence, RI 02914 Phone: 401-453-6600 Fax: 401-435-6694 |