Individual
SHALINI VEMULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-4995
Mailing address
330 BROOKLINE AVENUE, BOSTON, MA 02215
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
256910
MA
Other
Enumeration date
06/18/2013
Last updated
03/17/2018
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