Active NPI
US Care Pain Clinic LLC
- Pain Medicine (Anesthesiology) Physician
- Providence, RI
National Provider Identifier
1104967157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- MD10308
- Legal business name
- US CARE PAIN CLINIC LLC
- Practice address
- 955 Chalkstone Ave
2ND Floor
Providence, RI 02908-4220 - Phone
- (401) 228-7585
- NPI assigned
- Feb 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hafeez Urrahman Khan, MD
- Title
- President
- Phone
- (401) 228-7585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD10308 | RI | Primary |
Addresses
Primary practice location
955 Chalkstone Ave
2ND Floor
Providence, RI 02908-4220
Mailing address
12 Kirkbrae Dr
Lincoln, RI 02865-1008
Phone (401) 228-7585
National Provider Directory
National Provider DirectoryLocations
955 Chalkstone Ave
#2
North Providence, RI 02908
Phone (401) 228-7585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221696000000",
"number": "1104967157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 KIRKBRAE DR",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028651008",
"telephone_number": "401-228-7585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 CHALKSTONE AVE",
"address_2": "2ND FLOOR",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029084220",
"telephone_number": "401-228-7585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "US CARE PAIN CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-11",
"last_updated": "2008-09-18",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "HAFEEZ",
"authorized_official_middle_name": "URRAHMAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "401-228-7585",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "RI",
"license": "MD10308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.