Individual
DR. ASHWIN N ANANTHAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H
Contact information
Practice address
165 CAMBRIDGE ST 9TH FL, BOSTON, MA 02114
(617) 726-0267
(617) 726-3080
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02114
(617) 726-0267
(617) 726-3080
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
48732 - 20
WI
207RG0100X
Gastroenterology Physician
Primary
242671
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110084764/A
—
MA
Enumeration date
10/21/2006
Last updated
12/10/2014
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