Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Providence Interventional Associates II LLC

Organization Nephrology Physician · NPI 1306123476

Providence Interventional Associates II LLC is a Nephrology Physician in Providence, Rhode Island. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Highland Ave Ste 100
Providence, RI 02906-2740
Phone: (401) 277-9729
Fax: (401) 277-9730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X
Nephrology Physician Taxonomy 207RN0300X

Record details

NPI number1306123476
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonah Licht — Owner · (401) 277-9729
NPI enumeratedNovember 3, 2011
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025
Mailing address100 Highland Ave Ste 100, Providence, RI 02906-2740

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