Individual
DR. MAHATHI S KOMARAGIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-8380
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-8380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
17173
NH
208M00000X
Hospitalist Physician
Primary
17173
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025370
—
VT
05
—
3101693
—
NH
Enumeration date
10/28/2014
Last updated
02/07/2019
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