Individual
ANANDITA KISHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
Mailing address
45 STUART ST APT 1816, BOSTON, MA 02116-4762
(716) 290-9477
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1023842
MA
Other
Enumeration date
05/13/2022
Last updated
07/02/2025
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