Rosalind Vaz, MD
Individual provider Active NPI Pediatric Adolescent Medicine Physician · Providence, RI
NPI 1699720961 · NPPES record last updated Feb 8, 2008
Key facts
- NPI
- 1699720961
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Adolescent Medicine Physician 2080A0000X
- License
- 07176 (RI)
- Practice address
- 1 Hoppin St
Coro West
Providence, RI 02903-4141 - Phone
- (401) 444-5980
- Fax
- (401) 444-3873
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07176 | RI | MD | Pediatric Adolescent Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 07176 | RI | Yes |
Addresses
Primary practice location
1 Hoppin St
Coro West
Providence, RI 02903-4141
Mailing address
593 Eddy St
Hasbro 122
Providence, RI 02903-4923
Phone (401) 444-6484
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7002232 | Medicaid | RI |
Other providers in Providence, RI
- Tamiah Dora Vaughan
- Abby Vaughn
- Davontay Vaz
- Kehinde Vaz
- Lia M. Vaz
- Gioconda Vazquez
- Wesley Vear
- Reshma Oodal Vedantam
- Elaisha Vega Ogiba
- Shanee S Vega
All providers in Providence, RI · Pediatric Adolescent Medicine Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.