Individual
SHOVA SUBEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-6195
(401) 444-6378
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
17662
NH
2080P0206X
Pediatric Gastroenterology Physician
277475
MA
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD16423
RI
Other
Enumeration date
08/20/2010
Last updated
01/22/2019
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