Individual
SHRIYA VENKATESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-2857
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-2857
(401) 444-6681
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LP03913
RI
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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