Individual
NIPA GOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
150 S HUNTINGTON AVE, JAMAICA PLAIN, MA 02130-4817
(857) 364-5151
Mailing address
150 S HUNTINGTON AVE, JAMAICA PLAIN, MA 02130-4817
(857) 364-5151
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
228966
MA
2085N0904X
Nuclear Radiology Physician
228966
MA
2085R0202X
Diagnostic Radiology Physician
Primary
228966
MA
Other
Enumeration date
10/12/2006
Last updated
06/29/2015
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