Individual
KANTA NAGPAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3 WOODLAND RD, SUITE 205, STONEHAM, MA 02180-1702
(781) 662-2100
(781) 662-2284
Mailing address
548 LEBANON STREET, MELROSE, MA 02176
(781) 665-4364
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
208000000X
MA
2080P0202X
Pediatric Cardiology Physician
2080P0202X
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035189
TUFTS
MA
05
—
2027321
—
MA
01
—
20376
HARVARD PILGRIM HEALTH
MA
01
—
B10154401
CIGNA
MA
01
—
M08394
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
11/03/2005
Last updated
04/10/2015
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