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Individual

DR. AMIT VASIREDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000
Mailing address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
294632
MA
208M00000X
Hospitalist Physician
294632
MA
390200000X
Student in an Organized Health Care Education/Training Program
280732
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RI

Other

Enumeration date
07/15/2019
Last updated
08/13/2025
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