Sharath Ponnappa Puttichanda, | |
345 Blackstone Blvd, Providence, RI 02906-4800 | |
(401) 455-6346 | |
(401) 455-6532 |
Full Name | Sharath Ponnappa Puttichanda |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 345 Blackstone Blvd, Providence, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013178623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD13908 (Rhode Island) | Primary |
Entity Name | The Providence Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104847946 PECOS PAC ID: 9739080292 Enrollment ID: O20040116000840 |
Mailing Address | Practice Location Address |
---|---|
Sharath Ponnappa Puttichanda, 150 Union St, Apartment 610, Providence, RI 02903-1790 Ph: (917) 675-1997 | Sharath Ponnappa Puttichanda, 345 Blackstone Blvd, Providence, RI 02906-4800 Ph: (401) 455-6346 |
Dr. Dana Siperstein, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 167 Point St, Providence, RI 02903 Phone: 401-793-8808 Fax: 401-793-8851 | |
Giuseppe Salvatore D'amelio Iv, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 35 S Angell St Ste 8, Providence, RI 02906 Phone: 401-753-8821 | |
Eugenie Atallah, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-606-2645 Fax: 401-606-4386 | |
Dr. Luisa Skoble, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5448 Fax: 401-444-6119 | |
Arnaldo A Berges, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Jane Brown 5s, Providence, RI 02903 Phone: 401-444-5448 Fax: 401-444-6119 | |
Loreen Phyllis Carol Pirnie, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5448 |