Individual
PRAKASH SAMPATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 DUDLEY ST, PROVIDENCE, RI 02905-2436
(401) 273-4155
(401) 273-4115
Mailing address
118 DUDLEY ST, PROVIDENCE, RI 02905-2403
(401) 273-4155
(401) 273-4115
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
205361
MA
207T00000X
Neurological Surgery Physician
Primary
MD10126
RI
Other
Enumeration date
11/28/2005
Last updated
04/12/2024
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