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Individual

DR. LATHA PISHARODI

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
593 EDDY ST, DEPARTMENT OF PATHOLOGY APC-12, PROVIDENCE, RI 02903-4923
(401) 444-7826
(401) 444-3578
Mailing address
593 EDDY ST, DEPARTMENT OF PATHOLOGY APC-12, PROVIDENCE, RI 02903-4923
(401) 444-7826
(401) 444-3578

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
MD10155
RI
207ZP0101X
Anatomic Pathology Physician
MD10155
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
70078643
RI
05
7007983
RI
Enumeration date
05/20/2006
Last updated
09/11/2025
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