Individual
SHEILA LAKSHMI VENKATESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT STREET, WANG 240, BOSTON, MA 02114
(617) 726-3093
Mailing address
55 FRUIT STREET, WANG 240, BOSTON, MA 02114
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
281613
MA
Other
Enumeration date
05/01/2012
Last updated
02/11/2020
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