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Mohit Sourabh Kasibhatla, MD
Radiation Oncology Physician in Providence, Rhode Island
NPI 1841382660

Mohit Sourabh Kasibhatla is a Radiation Oncology Physician based in Fort Myers, RI and is specialized in Radiation Oncology. Mohit Sourabh Kasibhatla practices in Providence, RI and has the professional credentials of MD. The NPI Number for Mohit Sourabh Kasibhatla is 1841382660 and holds a License No. 2006-01262 (Rhode Island).

The current practice location address for Mohit Sourabh Kasibhatla is 50 Maude St, Providence, RI and can be reached out via phone at 401-456-2690 and via fax at 401-456-6540. You can also correspond with Mohit Sourabh Kasibhatla through the mailing address at 2234 COLONIAL BLVD, FORT MYERS, FL - 33907-1412 (mailing address contact number: 239-931-7342).

Location: 50 Maude St, Providence, RI, 33907-1412
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Provider Profile Details
NPI Number
1841382660
Provider Name
Mohit Sourabh Kasibhatla
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
50 Maude St, Providence, RI, 33907-1412
Phone Number
401-456-2690
Fax Number
401-456-6540
Provider Enumeration Date
09/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008032332 05 CT
P00756245 01 RI RAILROAD MEDICARE - RWRT
P01044492 01 RI RAILROAD MEDICARE - SOUTHERN NEW ENGLAND REGIONAL CANCER
MK69589 05 RI
7263727 01 RI AETNA
P00762785 01 RI RAILROAD MEDICARE - RADIOSURGERY CENTER OF RI
P00912570 01 RI RAILROAD MEDICARE - SOUTH COUNTY
institution
Provider Business Practice Location Address Details
Address
50 Maude St
City
State
Zip
02908-4325
Phone Number
401-456-2690
Fax Number
401-456-6540
person
Provider Business Mailing Address Details
Address
2234 Colonial Blvd
City
State
Zip
33907-1412
Phone Number
239-931-7342
Fax Number
239-931-7385
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
License No.
2006-01262 (North Carolina)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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