Individual provider · Type 1 NPI

Ekaterina Mahoney, MD

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

NPI number 1194572958 Active

Practice location

245 Chapman St Ste 100
Providence, RI 02905-4539

Call (401) 444-6118 Map

Mailing address

593 Eddy St
Providence, RI 02903-4923

Other practice locations

  • 593 Eddy St, Providence, RI 02903-4923 · (401) 793-2695

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XLP06231 (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.

8 other providers at this address

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About NPI 1194572958

Ekaterina Mahoney, MD's National Provider Identifier is 1194572958, issued on May 1, 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 Oct 23, 2026.