Individual
TAPSI MAVINKERE DAYANAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.B.B.S
Contact information
Practice address
55 FRUIT ST, WANG BLDG WACC 815, BOSTON, MA 02114-2621
(615) 957-2925
Mailing address
55 FRUIT ST, WANG BLDG WACC 815, BOSTON, MA 02114-2621
(617) 724-5600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
266789
MA
2084P0805X
Geriatric Psychiatry Physician
Primary
54243
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2011
Last updated
05/10/2017
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