Individual
MADHAVI KAMIREDDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
289 GREAT ROAD, SUITE G1, ACTON, MA 01720
(978) 679-1200
(978) 486-4037
Mailing address
289 GREAT ROAD, SUITE G1, ACTON, MA 01720
(978) 679-1200
(978) 486-4037
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
223251
MA
101YM0800X
Mental Health Counselor
223251
MA
2084P0800X
Psychiatry Physician
Primary
223251
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y008389MA01
BCBSNH
NH
01
—
043476807-17
PACIFICARE
MA
05
—
2105462
—
MA
01
—
363646
MHN
MA
01
—
494182
TUFTS
MA
01
—
800708000
MAGELLAN
MA
01
—
967628
NETWORK HEALTH
MA
01
—
J28990
BCBSMA
MA
Enumeration date
11/15/2005
Last updated
01/09/2019
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