Individual
JAINEEL KOTHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 793-2930
(401) 793-2953
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 793-2930
(401) 793-2953
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38488
NH
390200000X
Student in an Organized Health Care Education/Training Program
LP05658
RI
Other
Enumeration date
06/14/2022
Last updated
10/17/2025
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