Individual
SHAKTI AISHWARYA RAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 738-6611
(401) 921-6952
Mailing address
455 TOLL GATE RD, PRC AND CREDENTIALING, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
293392
MA
208600000X
Surgery Physician
Primary
MD19345
RI
Other
Enumeration date
06/21/2017
Last updated
08/15/2025
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