Individual
PRATICHHYA DEVKOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(401) 793-4489
(401) 793-4047
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD18392
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2019
Last updated
05/20/2022
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