IndividualActive
Phathsady Louangxay, P.A.
NPI 1174586671 · Medical Physician Assistant · Providence, RI
Provider details
- NPI number
- 1174586671
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- License
- 00356 (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
164 Summit Ave # C70
Providence, RI 02906-2853
Phone: (401) 793-4545
Fax: (401) 793-7866
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 16149
Rumford, RI 02916-0697
Additional practice locations (1)
- 455 Toll Gate RdWarwick, RI 02886-2759Phone: (401) 737-7010Fax: (401) 736-4546
Registry dates
- Enumerated
- 2006-04-07
- Last updated
- 2021-02-18
- Certified
- 2021-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.