Active NPIIndividual provider

Irina Gorbounova, MD

Pediatrics, Pediatric Gastroenterology in Providence, Rhode Island

NPI Number1235588245
Practice location
593 Eddy St, Providence, RI 02903-4923
Fax
401-444-6378
Last updated
October 13, 2022

Irina Gorbounova is a Pediatrics, Pediatric Gastroenterology based in Providence, RI. Irina Gorbounova practices in Providence, RI and has the professional credentials of MD. The NPI Number for Irina Gorbounova is 1235588245 and holds a License No. MD18598 (RI). The current practice location address for Irina Gorbounova is 593 Eddy St, Providence, RI 02903-4923 and can be reached out via phone at 401-444-6195 and via fax at 401-444-6378.

Provider Profile Details

NPI Number
1235588245
Provider Name
Irina Gorbounova
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
593 Eddy St, Providence, RI 02903-4923
Phone Number
401-444-6195
Fax Number
401-444-6378
Primary Taxonomy
Pediatrics, Pediatric Gastroenterology · 2080P0206X
Sole Proprietor
No
Provider Enumeration Date
June 9, 2016
Last Update Date
October 13, 2022
Certification Date
October 13, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
593 Eddy St
Providence, RI 02903-4923
Zip
02903-4923
Phone Number
401-444-6195
Fax Number
401-444-6378
Providence, RI 02903Get directions →

Provider Business Mailing Address Details

Address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
City
Providence
State
RI
Zip
02905-4541
Phone Number
401-444-6779
Fax Number
401-444-6912

License Information

License Number
MD18598
License State
RI
Taxonomy
Pediatrics, Pediatric Gastroenterology · 2080P0206X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Irina Gorbounova, MD?

The NPI number of Irina Gorbounova, MD is 1235588245. It was assigned on June 9, 2016 and is currently active in the NPPES registry.

What is the specialty of Irina Gorbounova, MD?

Irina Gorbounova, MD is registered under the primary taxonomy Pediatrics, Pediatric Gastroenterology (code 2080P0206X), licensed in RI under license number MD18598.

Where does Irina Gorbounova, MD practice?

The practice location is 593 Eddy St, Providence, RI 02903-4923. The office can be reached at 401-444-6195 (phone) or 401-444-6378 (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 1235588245 directly on the NPPES registry website.

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