Individual
NISHITHA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1085 N MAIN ST, PROVIDENCE, RI 02904-5719
(401) 415-4618
(401) 415-4348
Mailing address
1085 N MAIN ST, PROVIDENCE, RI 02904-5719
(401) 415-4618
(401) 415-4348
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
61758
TN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD17821
RI
Other
Enumeration date
06/29/2016
Last updated
10/12/2021
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