Individual
DR. MANGALADEVI PATIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(404) 727-5658
Mailing address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2500
(401) 889-3619
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
1017069
MA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD19339
RI
Other
Enumeration date
04/15/2017
Last updated
10/23/2024
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