Individual
VRISHALI SUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
239 CRANSTON ST, PROVIDENCE, RI 02907-2406
(401) 444-0580
(401) 444-0428
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 780-2511
(401) 780-2565
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD17386
RI
390200000X
Student in an Organized Health Care Education/Training Program
309755
LA
Other
Enumeration date
07/26/2018
Last updated
07/02/2021
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