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

Chiwoo Song, MD

Individual provider Internal Medicine Physician · NPI 1891473112

Chiwoo Song, MD is an Internal Medicine in Providence, Rhode Island. Qualified in 2012, 14 years ago. Licensed in Rhode Island.

Years since qualifying
14
Licensed in
RI
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

825 Chalkstone Ave
Providence, RI 02908-4728
Phone: (401) 456-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence LP06076 (RI)

Record details

NPI number1891473112
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2023
Last updated in NPPESJuly 6, 2023
Certification dateJuly 6, 2023
Mailing address825 Chalkstone Ave, Providence, RI 02908-4728

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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