Provider Demographics
NPI:1275633547
Name:TODD E. HANDEL, INC
Entity type:Organization
Organization Name:TODD E. HANDEL, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:EVAN
Authorized Official - Last Name:HANDEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-305-5280
Mailing Address - Street 1:100 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-2740
Mailing Address - Country:US
Mailing Address - Phone:401-305-5280
Mailing Address - Fax:401-305-5285
Practice Address - Street 1:285 GOVERNOR ST STE 100
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-3237
Practice Address - Country:US
Practice Address - Phone:401-305-5280
Practice Address - Fax:401-305-5285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD105992081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI23-02159OtherUNITED HEALTH
RI408449OtherBLUE CHIP
RI010599OtherTUFTS
RITH36097Medicaid
RI264430800OtherUS DOL
RI27612OtherNHP
RI050516851OtherTRICARE
RI2338-5OtherBCBS
RIAA31218OtherHARVARD PILGRIM - IND.
RIPO1105734OtherMEDICARE RR IND.
RIPO1105734OtherMEDICARE RR IND.