Individual
DR. RAVI VISSAPRAGADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 WASHINGTON ST, BOX 437, BOSTON, MA 02111-1552
(617) 636-5891
(617) 636-5385
Mailing address
800 WASHINGTON ST, BOX 437, BOSTON, MA 02111-1552
(617) 636-5891
(617) 636-5385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
255752
MA
Other
Enumeration date
05/01/2012
Last updated
06/07/2013
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