Individual
DR. KESAVAN SADACHARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
C10010381
DE
207L00000X
Anesthesiology Physician
MD446858
PA
207LP3000X
Pediatric Anesthesiology Physician
Primary
1025399
MA
207LP3000X
Pediatric Anesthesiology Physician
Primary
C10010381
DE
207LP3000X
Pediatric Anesthesiology Physician
MD446858
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7540035-00
—
MD
Enumeration date
07/22/2010
Last updated
01/13/2026
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