Provider Demographics
NPI:1831207752
Name:LOWE, DAVID A (MD)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:A
Last Name:LOWE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:61 WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-4311
Mailing Address - Country:US
Mailing Address - Phone:401-447-1493
Mailing Address - Fax:401-885-5409
Practice Address - Street 1:450 TOLL GATE RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-2715
Practice Address - Country:US
Practice Address - Phone:401-885-5409
Practice Address - Fax:401-885-5409
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIMD5187207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI23410OtherRI BC
RI9200029OtherUNITED HLTHCARE
RI9002341Medicaid
RI001351OtherRI BLUE CHIP
RI9002341Medicaid
RI119002341Medicare PIN