Individual
IVA NEUPANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
375 WAMPANOAG TRL, SUITE 102, RIVERSIDE, RI 02915-2232
(401) 649-4010
(401) 649-4011
Mailing address
17 VIRGINIA AVE, SUITE 107, PROVIDENCE, RI 02905-4406
(401) 443-4992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
248694
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD15479
RI
Other
Enumeration date
08/02/2011
Last updated
08/15/2016
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