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Individual

RAKESH RAM GOLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-7717
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
285172
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1508373366
PHYSICIAN
MA
Enumeration date
01/02/2018
Last updated
11/04/2025
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