Individual
DR. MADHAVI MEDIPALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
604 MAIN ST, SHREWSBURY, MA 01545-5663
(508) 842-6502
(508) 845-1841
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
263259
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110107441A
—
MA
Enumeration date
06/12/2012
Last updated
12/22/2020
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