Individual
DR. ASHA ANANDAIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 BROOKLINE AVENUE, KSB-023, BOSTON, MA 02215
(617) 667-5864
(617) 667-4849
Mailing address
330 BROOKLINE AVENUE, KSB-023, BOSTON, MA 02215
(617) 667-5864
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
220899
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
220899
MA
207RP1001X
Pulmonary Disease Physician
Primary
220899
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2067145
—
MA
Enumeration date
05/31/2005
Last updated
07/21/2016
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