NPI 1013178623

Sharath Ponnappa Puttichanda

Practitioner Psychiatry Physician Providence, RI

Practice location

Address: 345 Blackstone Blvd, Providence, RI 02906-4800
Phone: (401) 455-6346
Fax: (401) 455-6532
Mailing address: 150 Union St Apartment 610, Providence, RI 02903-1790

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence MD13908 (RI)

Other Psychiatry & Neurology providers in Rhode Island →

Registry record

NPI: 1013178623
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jun 2008
Record last updated: 6 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.