Individual
PRERANA BARANWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 GEORGE WASHINGTON HWY STE 104, LINCOLN, RI 02865-4299
(401) 606-8052
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD19159
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2015
Last updated
04/25/2023
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