Individual
SHARATH PONNAPPA PUTTICHANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 455-6346
(401) 455-6532
Mailing address
150 UNION ST, APARTMENT 610, PROVIDENCE, RI 02903-1790
(917) 675-1997
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD13908
RI
Other
Enumeration date
06/17/2008
Last updated
08/06/2012
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