Individual
DR. ANNAPURNA PODURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON, BOSTON, MA 02115-5724
(617) 355-7919
Mailing address
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON, BOSTON, MA 02115-5724
(617) 355-7919
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
217517
MA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
217517
MA
2084N0600X
Clinical Neurophysiology Physician
217517
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2101173
—
MA
Enumeration date
07/12/2006
Last updated
04/09/2013
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