Ibrahim Atanda Shode
Ibrahim Atanda Shode is a Certified Registered Nurse Anesthetist (CRNA) in North Providence, Rhode Island. Qualified in 2024, 2 years ago. Practices with Hospitalist Medicine Physicians of New York - Patchogue PC, a 47-clinician group and accepts Medicare assignment. Licensed in New Hampshire.
- Years since qualifying
- 2
- Licensed in
- NH
- In the registry since
- 2024
Practice location Address checks out
57 Villa AveNorth Providence, RI 02904-4421
Phone: (401) 663-8893
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 113637-23 (NH) |
|---|
Record details
| NPI number | 1497561203 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 6, 2024 |
| Last updated in NPPES | February 13, 2025 |
| Certification date | February 13, 2025 |
| Mailing address | 57 Villa Ave, North Providence, RI 02904-4421 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Hospitalist Medicine Physicians Of New York - Patchogue Pc — 47 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in North Providence
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Nola A Monti, CRNA
200 High Service Ave, North Providence, RI 02904-5113 · (401) 456-3136
-
Deirdre O'Sullivan, CRNA
200 High Service Ave, North Providence, RI 02904-5113 · (401) 456-3136
-
Debra A Perry, CRNA
200 High Service Ave, North Providence, RI 02904-5113 · (401) 456-3136
-
Catherine E. Reilly, CRNA
200 High Service Ave, North Providence, RI 02904-5113 · (401) 456-3000
-
Mario N Sumilang, CRNA
200 High Service Ave, North Providence, RI 02904-5113 · (401) 456-3136