Individual
SOVIJJA POU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4741
(401) 444-4445
Mailing address
DEPT 3010, PO BOX 986524, BOSTON, MA 02298-6524
(833) 924-5546
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD20597
RI
390200000X
Student in an Organized Health Care Education/Training Program
LP05573
RI
Other
Enumeration date
06/02/2022
Last updated
07/30/2025
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