Individual
GOWRI ANANDARAJAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 BREWSTER ST, MEMORIAL HOSPITAL OF RI/ DEPT. OF FAMILY MEDICINE, PAWTUCKET, RI 02860-4400
(401) 729-2769
(401) 729-2772
Mailing address
111 BREWSTER ST, WOOD BLDG 516, PAWTUCKET, RI 02860-4400
(401) 729-3481
(401) 729-2721
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD08122
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GA02599
—
RI
Enumeration date
11/09/2005
Last updated
01/27/2009
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