Individual provider · NPI-1

Subhashini Manjula Ayloo, M.D.

Surgery · Providence, RI

NPI number1437161874

StatusActive

Last updated in NPPESJul 22, 2021

Details

NPI: 1437161874
Entity type: Individual (NPI-1)
Name: Subhashini Manjula Ayloo
Credential: M.D.
Sex: Female
Sole proprietor: No
Enumeration date: Aug 13, 2006
Certification date: Jul 22, 2021
Last updated: Jul 22, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208600000X	Surgery	MD17356	RI	Yes
204F00000X	Transplant Surgery	036107630	IL
208600000X	Surgery	036-107630	IL

Practice location

2 Dudley St Ste 370
Providence, RI 02905-3248

Phone 401-228-0560 · Fax 401-228-0636

Mailing address

Po Box 16149
Rumford, RI 02916-0697

Phone 401-453-9625 · Fax 401-435-7069

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