Individual
DR. SUHAS PENUKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5795
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
LP06008
RI
Other
Enumeration date
05/02/2022
Last updated
06/23/2023
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