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1013178623
SHARATH PONNAPPA PUTTICHANDA
PROVIDENCE, RI
NPI
1013178623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: RI MD13908)
Enumeration Date
2008-06-17
Last Update Date
2012-08-06
Business Address
-- SHARATH PONNAPPA PUTTICHANDA
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906-4800
Phone number: 401-455-6346
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Mailing Address
-- SHARATH PONNAPPA PUTTICHANDA
150 UNION ST APARTMENT 610
PROVIDENCE, RI 02903-1790
Phone number: 917-675-1997
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