| Brain & Spine Neurosurgical Institute, Llc | |
|
1526 Atwood Avenue Suite 200 Johnston RI 02919 | |
| (401) 270-5395 | |
| (401) 270-7635 |
| Full Name | Brain & Spine Neurosurgical Institute, Llc |
|---|---|
| Speciality | Neurological Surgery |
| Location | 1526 Atwood Avenue, Johnston, Rhode Island |
| Authorized Official Name and Position | Sumit Kumar Das (PRESIDENT) |
| Authorized Official Contact | 4012705395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain & Spine Neurosurgical Institute, Llc 25 Thurber Blvd Unit 6 Smithfield RI 02917-1816 Ph: (401) 404-2975 | Brain & Spine Neurosurgical Institute, Llc 1526 Atwood Avenue Suite 200 Johnston RI 02919 Ph: (401) 270-5395 |
| NPI Number | 1558304212 |
|---|---|
| Provider Enumeration Date | 06/13/2006 |
| Last Update Date | 04/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558304212 | NPI | - | NPPES |
| SD50629 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 207T00000X | Neurological Surgery | (* (Not Available)) | Primary |
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