Individual
MADHU A WAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
50 STANIFORD ST STE 300, BOSTON, MA 02114-2542
(617) 726-4626
Mailing address
50 STANIFORD ST STE 300, BOSTON, MA 02114-2542
(617) 726-4626
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
209163
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2003431
—
MA
01
—
209163
TUFTS
MA
01
—
695189
HARVARD PILGRIM
MA
01
—
J25870
BLUE CROSS
MA
Enumeration date
05/04/2006
Last updated
04/15/2023
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