Individual
SHUBA KAMATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4691
(401) 444-7574
Mailing address
593 EDDY ST, HASBRO 122, PROVIDENCE, RI 02903-4923
(401) 444-4691
(401) 444-7574
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD13454
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD13454
LICENSE
RI
Enumeration date
07/10/2006
Last updated
10/13/2010
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