Active NPIIndividual providerSole proprietor

Pieter S De Klerk, MD

Internal Medicine, Interventional Cardiology in Providence, Rhode Island

NPI Number1730612490
Practice location
593 Eddy St, Providence, RI 02903-4923
Fax
401-444-8158
Last updated
April 16, 2024

Pieter Storm De Klerk is an Internal Medicine, Interventional Cardiology based in Providence, RI. Pieter Storm De Klerk practices in Providence, RI and has the professional credentials of MD. The NPI Number for Pieter Storm De Klerk is 1730612490 and holds a License No. MD17152 (RI). The current practice location address for Pieter Storm De Klerk is 593 Eddy St, Providence, RI 02903-4923 and can be reached out via phone at 401-444-5891 and via fax at 401-444-8158.

Provider Profile Details

NPI Number
1730612490
Provider Name
Pieter Storm De Klerk
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
593 Eddy St, Providence, RI 02903-4923
Phone Number
401-444-5891
Fax Number
401-444-8158
Primary Taxonomy
Internal Medicine, Interventional Cardiology · 207RI0011X
Sole Proprietor
Yes
Provider Enumeration Date
April 9, 2017
Last Update Date
April 16, 2024
Certification Date
April 16, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
593 Eddy St
Providence, RI 02903-4923
Zip
02903-4923
Phone Number
401-444-5891
Fax Number
401-444-8158
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

License Information

License Number (1)
MD17152
License State (1)
RI
License Number (2)
MD17152
License State (2)
RI
Taxonomy (2)
Internal Medicine, Interventional Cardiology · 207RI0011X · 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 Pieter S De Klerk, MD?

The NPI number of Pieter S De Klerk, MD is 1730612490. It was assigned on April 9, 2017 and is currently active in the NPPES registry.

What is the specialty of Pieter S De Klerk, MD?

Pieter S De Klerk, MD is registered under the primary taxonomy Internal Medicine, Interventional Cardiology (code 207RI0011X), licensed in RI under license number MD17152.

Where does Pieter S De Klerk, MD practice?

The practice location is 593 Eddy St, Providence, RI 02903-4923. The office can be reached at 401-444-5891 (phone) or 401-444-8158 (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 1730612490 directly on the NPPES registry website.

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