Individual
ANUPMA JATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(508) 583-4500
Mailing address
180 SOUTH ST, CHESTNUT HILL, MA 02467-3666
(781) 708-3823
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
226416
MA
2085N0904X
Nuclear Radiology Physician
226416
MA
2085R0202X
Diagnostic Radiology Physician
Primary
226416
MA
Other
Enumeration date
09/29/2006
Last updated
01/11/2017
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