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1417054248
LATHA SIVAPRASAD
PROVIDENCE, RI
NPI
1417054248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: RI MD14416)
Enumeration Date
2006-09-20
Last Update Date
2014-04-25
Business Address
-- LATHA SIVAPRASAD MD
593 EDDY ST APC 5
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4741
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Mailing Address
-- LATHA SIVAPRASAD MD
17 VIRGINIA AVE SUITE 107
PROVIDENCE, RI 02905-4406
Phone number:
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