Individual
SHRISHTI GANGULY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11 FRIENDSHIP ST, NEWPORT, RI 02840-2299
(401) 845-1281
Mailing address
11 FRIENDSHIP ST, NEWPORT, RI 02840-2209
(401) 845-1281
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01072969A
IN
207R00000X
Internal Medicine Physician
Primary
MD15003
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/24/2010
Last updated
05/06/2026
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