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1841382660
MOHIT SOURABH KASIBHATLA
PROVIDENCE, RI
NPI
1841382660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X
(Licence: RI MD12575)
Additional Taxonomies
2085R0001X
(Licence: NC 2006-01262)
Enumeration Date
2006-09-29
Last Update Date
2022-01-05
Business Address
MOHIT SOURABH KASIBHATLA MD
50 MAUDE ST
PROVIDENCE, RI 02908-4325
Phone number: 401-456-2690
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Mailing Address
MOHIT SOURABH KASIBHATLA MD
2234 COLONIAL BLVD MANAGED CARE DET.
FORT MYERS, FL 33907-1412
Phone number: 239-931-7342
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