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Individual

DR. GOPI MANTHRIPRAGADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
55 FRUIT ST, GRB 8-852K, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
55 FRUIT ST, GRB 8-852K, BOSTON, MA 02114-2621
(617) 726-2000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A116033
CA
207R00000X
Internal Medicine Physician
MD441198
PA
207RC0000X
Cardiovascular Disease Physician
Primary
251304
MA

Other

Enumeration date
08/07/2007
Last updated
12/17/2021
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