IndividualActive
Anirudh Udutha, MD
NPI 1417687401 · Student in an Organized Health Care Education/Training Program · Providence, RI
Provider details
- NPI number
- 1417687401
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 05708 (RI)
Specialties & taxonomies
Student, Health Care
Practice location
593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-5180
Approximate (ZIP-level) locationGet directions
Mailing address
593 Eddy St
Providence, RI 02903-4923
Registry dates
- Enumerated
- 2022-06-14
- Last updated
- 2022-06-14
- Certified
- 2022-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.