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Individual

ANAND K DEVAIAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
830 HARRISON AVE STE 1400, BOSTON, MA 02118-2905
(617) 638-8124
(617) 414-4953
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
213500
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110006002A
MA
05
3116033
NH
Enumeration date
04/03/2006
Last updated
01/28/2025
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