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Individual

SUBHASHINI MANJULA AYLOO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2 DUDLEY ST STE 370, PROVIDENCE, RI 02905-3248
(401) 228-0560
(401) 228-0636
Mailing address
PO BOX 16149, RUMFORD, RI 02916-0697
(401) 453-9625
(401) 435-7069

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
036107630
IL
208600000X
Surgery Physician
036-107630
IL
208600000X
Surgery Physician
Primary
MD17356
RI

Other

Enumeration date
08/13/2006
Last updated
07/22/2021
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