Organization
DASARI MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PADMA DASARI M.D. (OWNER MANAGER)
(781) 784-9913
Entity
Organization
Contact information
Practice address
14 SANDPIPER WAY, SHARON, MA 02067-1536
(781) 784-9913
(781) 784-2368
Mailing address
14 SANDPIPER WAY, SHARON, MA 02067-1536
(781) 784-9913
(781) 784-2368
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
80224
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110055984A
MASS HEALTH
MA
05
—
3140466
—
MA
01
—
699999
HARVARD PILGRIM
MA
01
—
791424
TUFTS
MA
01
—
DAA20200
BCBSMA
MA
01
—
M18858
BCBSMA GROUP
MA
01
—
M21524
MEDICARE GROUP
MA
Enumeration date
12/02/2006
Last updated
04/06/2012
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