Individual provider · Type 1 NPI

Yohannes Ghenbot

Neurological Surgery Physician · Providence, RI

NPI number 1386104362 Active

Practice location

593 Eddy St
Providence, RI 02903-4923

Fax (401) 444-2788

Mailing address

15 Lasalle Sq
Providence, RI 02903

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XMD21131 (RI)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1386104362

Yohannes Ghenbot's National Provider Identifier is 1386104362, issued on Mar 25, 2019. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Providence, RI. The record was last updated on Jul 14, 2026.