Individual
MYTHILY MEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
228 BILLERICA RD, CHELMSFORD, MA 01824-3604
(978) 250-6000
(978) 250-6137
Mailing address
228 BILLERICA RD, CHELMSFORD, MA 01824-3604
(978) 250-6000
(978) 250-6137
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
233659
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2146894
—
MA
Enumeration date
10/23/2007
Last updated
02/18/2021
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