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Individual

KAVITHA RANGANATHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
9910 FRANKLIN SQUARE DR # 2110, BALTIMORE, MD 21236-4902
(410) 933-6421

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
D87222
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D87222
LICENSE
MD
Enumeration date
07/06/2011
Last updated
10/30/2024
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