Individual
NISHANTH REDDY PUNDRU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-3985
(401) 444-3986
Mailing address
125 WHIPPLE ST STE 3, PROVIDENCE, RI 02908-3258
(401) 519-0330
(401) 427-7795
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD15768
RI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/27/2014
Last updated
07/02/2025
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