Dr. Andrew M Fukuda, MD, PHD
Psychiatry & Neurology, Psychiatry in Providence, Rhode Island
1053806497- Practice location
- 345 Blackstone Blvd, Providence, RI 02906-4829
- Phone
- 401-455-6346
- Fax
- 401-455-6532
- Last updated
- October 15, 2024
Andrew Minoru Fukuda is a Psychiatry & Neurology, Psychiatry based in Providence, RI. Andrew Minoru Fukuda practices in Providence, RI and has the professional credentials of MD, PHD. The NPI Number for Andrew Minoru Fukuda is 1053806497 and holds a License No. MD17238 (RI). The current practice location address for Andrew Minoru Fukuda is 345 Blackstone Blvd, Providence, RI 02906-4829 and can be reached out via phone at 401-455-6346 and via fax at 401-455-6532.
Provider Profile Details
- NPI Number
- 1053806497
- Provider Name
- Andrew Minoru Fukuda
- Credential
- MD, PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 345 Blackstone Blvd, Providence, RI 02906-4829
- Phone Number
- 401-455-6346
- Fax Number
- 401-455-6532
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 27, 2018
- Last Update Date
- October 15, 2024
- Certification Date
- April 7, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 345 Blackstone Blvd
Providence, RI 02906-4829 - City
- Providence
- State
- Rhode Island
- Zip
- 02906-4829
- Phone Number
- 401-455-6346
- Fax Number
- 401-455-6532
Provider Business Mailing Address Details
- Address
- 345 Blackstone Blvd
Box G-Bh
Providence, RI 02906-4800 - City
- Providence
- State
- RI
- Zip
- 02906-4800
- Phone Number
- 401-455-6375
License Information
- License Number
- MD17238
- License State
- RI
- Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Andrew M Fukuda, MD, PHD?
The NPI number of Dr. Andrew M Fukuda, MD, PHD is 1053806497. It was assigned on June 27, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Andrew M Fukuda, MD, PHD?
Dr. Andrew M Fukuda, MD, PHD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in RI under license number MD17238.
Where does Dr. Andrew M Fukuda, MD, PHD practice?
The practice location is 345 Blackstone Blvd, Providence, RI 02906-4829. The office can be reached at 401-455-6346 (phone) or 401-455-6532 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053806497 directly on the NPPES registry website.