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Individual

MOHAMEDTAUQIR M PUTHAWALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-3985
(401) 444-3986
Mailing address
17 VIRGINIA AVE, SUITE 107, PROVIDENCE, RI 02905-4406

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD14608
RI
207R00000X
Internal Medicine Physician
R2619
KY

Other

Enumeration date
04/22/2011
Last updated
01/02/2026
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