Individual
PUSHPA NARAYANASWAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 BROOKLINE AVENUE, ROOM 810, BIDMC NEUROLOGY SHAPIRO CLINICAL CENTER, BOSTON, MA 02215-5400
(617) 667-4382
(617) 667-3175
Mailing address
330 BROOKLINE AVENUE, ROOM 810, BIDMC NEUROLOGY SHAPIRO CLINICAL CENTER, BOSTON, MA 02215-5400
(617) 667-4382
(617) 667-3175
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
229174
MA
2084N0400X
Neurology Physician
Primary
229174
MA
2084N0600X
Clinical Neurophysiology Physician
229174
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2125234
—
MA
01
—
494968
TUFTS
—
01
—
H29857
HARVARD PILGRIM
—
01
—
J40512
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/11/2005
Last updated
05/03/2014
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