Individual
JAYA PADMANABHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE, KIRSTEIN-2, BOSTON, MA 02215
(617) 667-4074
(617) 667-7981
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-4074
(617) 667-7981
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
258732
MA
Other
Enumeration date
03/26/2010
Last updated
03/17/2018
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