Individual
DR. VINOD EASWARAN NAMBUDIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A.
Contact information
Practice address
221 LONGWOOD AVE, BOSTON, MA 02115-5804
(617) 732-4918
Mailing address
221 LONGWOOD AVE, BOSTON, MA 02115-5804
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
265544
MA
207R00000X
Internal Medicine Physician
244742
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038739800
—
SC
Enumeration date
06/02/2010
Last updated
03/17/2018
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