Mahran A Izoli

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH234877 Issued in MA

Practice address

593 Eddy St
Davol Building, 1St Floor
Providence, RI 02903

Phone

(401) 444-9909

NPI assigned

Aug 24, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1326529512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 THEATRE DR",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934469604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "address_2": "DAVOL BUILDING, 1ST FLOOR",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02903",
            "telephone_number": "401-444-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZOLI",
        "first_name": "MAHRAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-24",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "RPH05351",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH234877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sivana Isabel Ivanov, RN
• Erin Ivatts, MSN, AGNP-C
• Ivy Marwil
• Satori Iwamoto, M.D.
• Christopher Iwuc, RT (R) (N)
• Joseph Anthony Izzi Jr., M.D.
• J.M. Monchik MD Inc.
• J&J Medical Transportation LLC
• J3 Advisory LLC
• Grace Nazaree Jablonski, APRN

• Pharmacist in Providence, RI
• Providers in Providence, RI by specialty
• Pharmacist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.