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Contact Information

GHULAM M SURTI, MD
345 BLACKSTONE BLVD
PROVIDENCE, RI02906-4800
 Phone: 401-455-6200
 Fax: 401-455-6309
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for GHULAM M SURTI · (Male)

NPI Number 1861499675
Status Active
Credentials MD
Entity Individual
Enumeration date 07/07/2005
Last updated 02/28/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • RI License # MD09937
  • NY Medicaid 02246624
  • RI Medicaid GS29847
  • RI Other 406629 BLUE CHIP
  • RI Other 23998-5 BLUE CROSS
  • RI Other 1104801349 BUTLER HOSPITAL NPI
  • RI Other 1093831646 BUTLER HOSPITAL PROFESSIONAL BILLING OFFICE
  • RI Other 007008181 MEDICARE ID-TYPE UNSPECIFIED
  • RI Other P00362436 MEDICARE RAILROAD
  • RI Other 15-43150 UNITED BEHAVIORAL HEALTH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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