Individual
DR. SANAM LATHIEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
725 CONCORD AVE STE 3300, CAMBRIDGE, MA 02138-1055
(617) 864-8822
(617) 354-1318
Mailing address
725 CONCORD AVE STE 6100, CAMBRIDGE, MA 02138-1040
(617) 864-8822
(617) 354-1318
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD15691
RI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
285707
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110165445A
—
MA
Enumeration date
08/07/2012
Last updated
06/24/2021
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