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Individual

VINOD NARRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
104 ENDICOTT ST STE 200, DANVERS, MA 01923-3623
(978) 882-6375
(978) 882-6517
Mailing address
104 ENDICOTT ST STE 200, DANVERS, MA 01923-3623
(978) 882-6375
(978) 882-6517

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
151643
MA
208600000X
Surgery Physician
4301085261
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110058719A
MA
05
475175910
MI
01
700H262310
BLUE CROSS-BLUE CROSS
01
J17917
BCBS
MA
01
VN085261
CHAMPUS-CHAMPUS
Enumeration date
12/18/2006
Last updated
10/06/2016
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