IndividualActive
Aneesha Gummadi, MD
NPI 1093564866 · Student in an Organized Health Care Education/Training Program · Providence, RI
Provider details
- NPI number
- 1093564866
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- LP06293 (RI)
Specialties & taxonomies
Student, Health Care
Practice location
593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-4741
Fax: (401) 444-4445
Approximate (ZIP-level) locationGet directions
Mailing address
593 Eddy St
Providence, RI 02903-4923
Registry dates
- Enumerated
- 2024-05-15
- Last updated
- 2024-07-03
- Certified
- 2024-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.