IndividualActive
Siraj Amanullah, MD
NPI 1952322802 · Pediatric Emergency Medicine (Pediatrics) Physician · Providence, RI
Provider details
- NPI number
- 1952322802
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD10763 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
593 Eddy St
Claverick 2
Providence, RI 02903-4923
Phone: (401) 854-2504
Fax: (401) 854-2519
Approximate (ZIP-level) locationGet directions
Mailing address
125 Whipple St Ste 3
Providence, RI 02908-3258
Registry dates
- Enumerated
- 2006-07-23
- Last updated
- 2023-11-29
- Certified
- 2022-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.