CARMEN TINA KHORRAM

PROVIDENCE, RI
NPI1215377098
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: RI  MD15994)
Additional Taxonomies207L00000X Anesthesiology
(Licence: FL  19042)
Enumeration Date2013-06-26
Last Update Date2020-09-21
Business Address
CARMEN TINA KHORRAM M.D.
825 CHALKSTONE AVE
PROVIDENCE, RI 02908-4728
Phone number: 980-322-5885
Mailing Address
CARMEN TINA KHORRAM M.D.
255 PROMENADE ST APT 609
PROVIDENCE, RI 02908-5776
Phone number: 980-322-5885