Nagagopal Venna MD

NPI 1013998160 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1013998160
Gender Male
Enumeration Date 11/07/2005
Last Updated 09/07/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
15 PARKMAN ST
WAC 835
BOSTON MA, 02114-3117, US
Phone (617) 726-5533
Fax (617) 726-6991
Business Location
PO BOX 9142
CHARLESTOWN MA, 02129-9142, US
Phone (617) 726-7643
Fax (617) 726-6991
Toxanomy
Taxonomy Code 2084N0400X
License State Massachusetts
License Number 41708
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According to our database, Dr. Nagagopal Venna MD NPI is 1013998160, taxonomy code is 2084N0400X and license number is 41708, license state is located at Massachusetts. Nagagopal Venna MD physically located at 15 Parkman St, Boston MA, 02114-3117. NPI Number Nagagopal Venna MD has the Individual type.

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1013998160 NPI number is provided on an as is basis without warranty of any kind. 1013998160 is maintained by the National Plan & Provider Enumeration System. The contents of Nagagopal Venna MD are for informational purposes only.