Individual
DR. PRATIMA GHIMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6 ESSEX CENTER DR, PEABODY, MA 01960-2904
(978) 531-0677
Mailing address
6 ESSEX CENTER DR, PEABODY, MA 01960-2904
(978) 531-0677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
258098
MA
207RN0300X
Nephrology Physician
Primary
258098
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110102091A
—
MA
Enumeration date
07/19/2009
Last updated
01/05/2022
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