Search › Rhode Island › 103T00000X
Chonlada Jarukitisakul, PHD
NPI 1962024869 · on the registry since 2020 · sole proprietor
Practice
- Address
- 450 Brook Street
Providence, RI 02906 - Phone
- (401) 863-3476
- Organisation at this address
- Brown University Of Provedence State Of Ri And Prov Plantaio
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103T00000X
103T00000X - Licence states on file
- RI, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island