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

Shijo Benjamin, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891435475

Shijo Benjamin, MD is a Student in an Organized Health Care Education/Training Program in Providence, Rhode Island. Practices as a sole proprietor. Licensed in Pennsylvania and Rhode Island.

Licensed in
PA, RI
In the registry since
2022
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) 444-5033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence LP06476 (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (PA)

Record details

NPI number1891435475
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 31, 2022
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025
Mailing address593 Eddy St, Providence, RI 02903-4923

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