Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | MD 14823 | RI |
N | 2080P0205X | Pediatric Endocrinologist | MD 14823 | RI |
NPI | 1184887283 |
---|---|
Provider Name | Pranati Jha |
First Address | Cumberland, RI 02864-3805 |
Second Address | Cumberland, RI 02864-3805 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2008 |
Last Update Date | 05/06/2015 |