Individual
DR. USHA PANNEERSELVAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
351 BUDLONG RD, CRANSTON, RI 02920-6001
(401) 943-1860
(401) 943-8952
Mailing address
116 SAGAMORE RD, CRANSTON, RI 02920-4600
(401) 946-0656
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10133
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9020788
—
RI
Enumeration date
07/16/2006
Last updated
07/08/2007
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