NPI

Katrina L. Mahood

NPI 1821733718

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
OD
Type
Individual
Enumeration date
2022-05-04
Last updated
2026-04-20

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Specialties

Licenses

License MA
OPT8291
License RI
ODTG00728

Location

Practice location
335r Prairie Ave
City
Providence RI
Postal code
02905-2426
Phone
(401) 444-0570

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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