Maryam Inanloo, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

LP01420 Issued in RI

Practice address

877 Chalkstone Ave
Providence, RI 02908-4728

Phone

(401) 456-2179

NPI assigned

Mar 15, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237075200000",
    "number": "1205077633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 PROVIDENCE PL",
            "address_2": "APT #204",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029037000",
            "telephone_number": "571-220-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 CHALKSTONE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084728",
            "telephone_number": "401-456-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INANLOO",
        "first_name": "MARYAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-15",
        "last_updated": "2009-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP01420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katheryn Imes
• Riley Keaton Imlay, MD
• Hafiz Muhammad Imran, MD
• In Home Wellcare LLC
• Sotannary In, LCSW
• Inclusive Wellness Psychology
• Cailey Indech, DO
• Independence Health Services, LLC
• Fransisca Indraswari, MD
• Infinitely Imbued LLC

• Internal Medicine Physician in Providence, RI
• Providers in Providence, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.