IndividualActive
Stefan Gravenstein, MD
NPI 1447224191 · Geriatric Medicine (Family Medicine) Physician · Providence, RI
Provider details
- NPI number
- 1447224191
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD12353 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
593 Eddy St
Providence, RI 02903
Phone: (401) 444-5248
Fax: (401) 444-3397
Approximate (ZIP-level) locationGet directions
Mailing address
15 La Salle Sq
Providence, RI 02903-1814
Additional practice locations (1)
- 375 Wampanoag TrlRiverside, RI 02915-2232Phone: (401) 649-4010Fax: (401) 649-4011
Registry dates
- Enumerated
- 2006-02-16
- Last updated
- 2026-03-06
- Certified
- 2026-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.