Individual
DR. SARASCHANDRA VALLABHAJOSYULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MSC
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4000
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD19510
RI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD19510
RI
207RI0011X
Interventional Cardiology Physician
Primary
MD19510
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59035
STATE LICENSE
MN
01
—
6852
TEP
NE
Enumeration date
07/17/2012
Last updated
10/20/2023
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