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Individual

KRISHNA G. ARAGAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 FRUIT ST., GRB-852, BOSTON, MA 02114
(617) 726-2677
Mailing address
55 FRUIT ST., GRB-852, BOSTON, MA 02114
(617) 726-2677

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT199436
PA
207RC0000X
Cardiovascular Disease Physician
Primary
258709
MA
390200000X
Student in an Organized Health Care Education/Training Program
MT199436
PA

Other

Enumeration date
05/19/2011
Last updated
06/08/2018
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