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

Individual provider Internal Medicine Physician · NPI 1811519408

Rei Mitsuyama, MD is an Internal Medicine Physician in Providence, Rhode Island. Practices as a sole proprietor and works from 2 locations. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2020
Specialties on file
2
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

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-4741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 593 Eddy St, Providence, RI 02903-4923 — (401) 444-4741

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD19179 (RI)
Internal Medicine Physician Taxonomy 207R00000X · Licence LP04836 (RI)

Record details

NPI number1811519408
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 18, 2020
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023

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