Individual
DR. SITARAM MANOHAR EMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, FA-144, BOSTON, MA 02115-5724
(617) 355-4104
(617) 730-0214
Mailing address
300 LONGWOOD AVE, FA-144, BOSTON, MA 02115-5724
(617) 355-4104
(617) 730-0214
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
231571
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2144026
—
MA
01
—
496097
TUFTS
MA
01
—
AA90483
HPHC
MA
01
—
J41625
BCBS
MA
Enumeration date
02/07/2007
Last updated
10/22/2008
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