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

Ghulam Mustafa Surti, MD

Individual provider Psychiatry Physician · NPI 1861499675

Ghulam Mustafa Surti, MD is a Psychiatry in Providence, Rhode Island. Qualified in 1990, 36 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
36
Licensed in
RI
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

345 Blackstone Blvd
Providence, RI 02906-4800
Phone: (401) 455-6200
Fax: (401) 455-6309
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD09937 (RI)
Geriatric Psychiatry Physician Taxonomy 2084P0805X · Licence MD09937 (RI)

Record details

NPI number1861499675
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2005
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Also practisesGERIATRIC PSYCHIATRY
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Providence