Individual
VISHWANATH THIMMAPPA ANEKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-7000
Mailing address
12 QUINCY ST APT 2, SOMERVILLE, MA 02143-1791
(503) 887-4448
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1015281
MA
208M00000X
Hospitalist Physician
Primary
1015281
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
08/04/2023
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