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NPI 1053806497

IndividualActive

Andrew Fukuda, MD, PHD

NPI 1053806497 · Psychiatry Physician · Providence, RI

Provider details

NPI number: 1053806497
Entity type: Individual
Primary specialty: Psychiatry PhysicianAllopathic & Osteopathic Physicians
Credential: MD, PHD
Sex: Male
Sole proprietor: No
License: MD17238 (RI)

Practice location

345 Blackstone Blvd

Providence, RI 02906-4829

Phone: (401) 455-6346

Fax: (401) 455-6532

More RI providers

Mailing address

345 Blackstone Blvd

Providence, RI 02906-4800

Registry dates

Enumerated: 2018-06-27
Last updated: 2024-10-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Andrew Fukuda, MD, PHD — NPI 1053806497, Providence, RI | NPI Central