Individual
DIVYA BALAKRISHNA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
725 ALBANY ST, SHAPIRO 9B, BOSTON, MA 02118-2526
(617) 638-7480
Mailing address
72 E CONCORD ST, R-304, BOSTON, MA 02118-2307
(617) 638-4862
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
237455
MA
Other
Enumeration date
07/11/2008
Last updated
06/13/2012
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