Provider Demographics
NPI:1215994405
Name:STOKOE, USHA (MD)
Entity type:Individual
Prefix:
First Name:USHA
Middle Name:
Last Name:STOKOE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:200 TOLL GATE RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-4440
Mailing Address - Country:US
Mailing Address - Phone:401-732-8081
Mailing Address - Fax:401-732-8098
Practice Address - Street 1:200 TOLL GATE RD
Practice Address - Street 2:SUITE 204
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4440
Practice Address - Country:US
Practice Address - Phone:401-732-8081
Practice Address - Fax:401-732-8098
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RI8949207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI010643351OtherTAX ID
RI01910059-001OtherCIGNA
RI204474OtherBLUE CHIP
RI26332-8OtherBC/BS OF RI
RI404205OtherTUFTS
RI9020236Medicaid
RI404205OtherTUFTS
RIG05421Medicare UPIN