Individual
DR. RISHI RAMESH LULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST STE 105, PROVIDENCE, RI 02903
(401) 444-5241
(401) 444-3872
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036-114875
IL
208000000X
Pediatrics Physician
Primary
MD16312
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD16312
LICENSE
RI
Enumeration date
07/13/2006
Last updated
04/27/2021
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