Individual
ARAVIND RAO KOKKIRALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(860) 545-1559
Mailing address
PO BOX 40,000 DEPT 634, HARTFORD HOSPITAL PROFESSIONAL SERVICES, HARTFORD, CT 06151-0634
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
043983
CT
207RC0000X
Cardiovascular Disease Physician
Primary
MD16358
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001439835
—
CT
Enumeration date
12/24/2005
Last updated
11/07/2018
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