Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD12204 | RI |
Y | 2084N0402X | Child Neurologist | MD12204 | RI |
NPI | 1093748378 |
---|---|
Provider Name | Gita V Harappanahally |
First Address | Providence, RI 02905-4513 |
Second Address | Providence, RI 02903-4923 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 13/07/2020 |