Individual
DR. JASMIN MAHABAMUNUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
90 PLAIN ST, PROVIDENCE, RI 02903-4817
(401) 453-7500
Mailing address
90 PLAIN ST, PROVIDENCE, RI 02903-4817
(401) 453-7500
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
MD20465
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2021
Last updated
06/13/2025
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