Individual
SOWMYA LAKSHMI VARADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
268468
MA
2085R0202X
Diagnostic Radiology Physician
23233
NH
2085R0202X
Diagnostic Radiology Physician
Primary
287843
MA
Other
Enumeration date
06/22/2016
Last updated
11/22/2022
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