Individual
DR. MAHESWARA SATYA GANGADHARA RAO GOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
736 CAMBRIDGE ST, INTERNAL MEDICINE, BRIGHTON, MA 02135-2907
(617) 789-3000
Mailing address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
256828
MA
207RC0000X
Cardiovascular Disease Physician
29579
WV
207RI0011X
Interventional Cardiology Physician
Primary
M-2400
GU
Other
Enumeration date
06/27/2013
Last updated
10/30/2023
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