Individual
MARYAM INANLOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
877 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2179
Mailing address
903 PROVIDENCE PL, APT #204, PROVIDENCE, RI 02903-7000
(571) 220-0854
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LP01420
RI
Other
Enumeration date
03/15/2009
Last updated
03/15/2009
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