Individual
SIRISHMA KALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 643-3726
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
252370
MA
2085R0202X
Diagnostic Radiology Physician
Primary
269620
MA
Other
Enumeration date
06/28/2012
Last updated
02/23/2017
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