Individual
GAYATHRI KRISHNA KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 NORTH ST, MEDFIELD, MA 02052-1654
(508) 359-1519
Mailing address
50 NORTH ST, MEDFIELD, MA 02052-1654
(508) 359-1519
(508) 359-4345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2014-01777
NC
207Q00000X
Family Medicine Physician
28701
SC
207Q00000X
Family Medicine Physician
Primary
294067
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110185760A
—
MA
Enumeration date
08/08/2006
Last updated
01/10/2025
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