Individual provider · Type 1 NPI

Edward Charles Leithead Iv, MD, MBS

Student in an Organized Health Care Education/Training Program · Providence, RI

NPI number 1184466294 Active

Practice location

593 Eddy St
Providence, RI 02903-4923

Fax (401) 444-4445

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XLP06367 (RI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1184466294

Edward Charles Leithead Iv, MD, MBS's National Provider Identifier is 1184466294, issued on Jun 10, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Providence, RI. The record was last updated on Jun 10, 2024.