Individual
DR. UMA DHANABALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH, FAAFP
Contact information
Practice address
777 CONCORD AVE STE 106, CAMBRIDGE, MA 02138-1053
(508) 444-2324
(508) 340-4930
Mailing address
777 CONCORD AVE STE 106, CAMBRIDGE, MA 02138-1053
(508) 444-2324
(508) 340-4930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
157551
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1319219
AETNA
MA
01
—
AA65606
HARVARD PILGRIM
MA
01
—
J26406
BLUE CROSS BLUE SHIELD
MA
05
—
Z006251
—
MA
Enumeration date
03/01/2007
Last updated
07/17/2024
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