Individual
GITA SUBRAMANIAN PENSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11 FRIENDSHIP ST, NEWPORT, RI 02840-2271
(401) 845-1593
(401) 847-0650
Mailing address
11 FRIENDSHIP ST, NEWPORT, RI 02840-2271
(401) 845-1593
(401) 847-0650
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD10611
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7009049
—
RI
Enumeration date
04/20/2006
Last updated
12/31/2014
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