Joan C Desantis, MD
Radiology, Diagnostic Radiology in Pawtucket, Rhode Island
1720066889- Practice location
- 111 Brewster St, Pawtucket, RI 02860-4400
- Phone
- 401-729-2339
- Fax
- —
- Last updated
- March 13, 2020
Joan C Desantis is a Radiology, Diagnostic Radiology based in Pawtucket, RI. Joan C Desantis practices in Pawtucket, RI and has the professional credentials of MD. The NPI Number for Joan C Desantis is 1720066889 and holds a License No. 19404 (NH). The current practice location address for Joan C Desantis is 111 Brewster St, Pawtucket, RI 02860-4400 and can be reached out via phone at 401-729-2339.
Provider Profile Details
- NPI Number
- 1720066889
- Provider Name
- Joan C Desantis
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 111 Brewster St, Pawtucket, RI 02860-4400
- Phone Number
- 401-729-2339
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 8, 2006
- Last Update Date
- March 13, 2020
- Certification Date
- March 13, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 Brewster St
Pawtucket, RI 02860-4400 - City
- Pawtucket
- State
- Rhode Island
- Zip
- 02860-4400
- Phone Number
- 401-729-2339
Provider Business Mailing Address Details
- Address
- 98 Carruth RD
Templeton, MA 01468-1312 - City
- Templeton
- State
- MA
- Zip
- 01468-1312
- Phone Number
- 978-632-7383
License Information
- License Number (1)
- 19404
- License State (1)
- NH
- Taxonomy (1)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (2)
- 042.0012958
- License State (2)
- VT
- Taxonomy (2)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (3)
- MD11944
- License State (3)
- RI
- Taxonomy (3)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (4)
- 74797
- License State (4)
- MA
- Taxonomy (4)
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Radiology, Diagnostic Radiology providers near Pawtucket, RI
View all Radiology, Diagnostic Radiology providers in Pawtucket →Frequently Asked Questions
What is the NPI number of Joan C Desantis, MD?
The NPI number of Joan C Desantis, MD is 1720066889. It was assigned on January 8, 2006 and is currently active in the NPPES registry.
What is the specialty of Joan C Desantis, MD?
Joan C Desantis, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in NH under license number 19404.
Where does Joan C Desantis, MD practice?
The practice location is 111 Brewster St, Pawtucket, RI 02860-4400. The office can be reached at 401-729-2339 (phone).
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 1720066889 directly on the NPPES registry website.