Individual
RISHI MAMTANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-3000
Mailing address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
280824
MA
207RN0300X
Nephrology Physician
Primary
330736
NY
Other
Enumeration date
06/20/2019
Last updated
11/25/2024
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