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Individual
SHANTHY SRIDHAR
Active
Individual
SHANTHY SRIDHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207204
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021220
NEIGHBORHOOD HEALTH
MA
05
—
0123510
—
MA
01
—
207204
TUFTS
MA
01
—
J22961
BLUE CROSS
MA
01
—
V015
HARVARD PILGRIM
MA
Enumeration date
05/17/2006
Last updated
01/12/2021
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