Individual
DR. DEVIKA KOMMINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
246 MAPLE ST, MARLBOROUGH, MA 01752-3235
(087) 860-7075
(528) 351-0173
Mailing address
171 MAIN ST STE 203B, ASHLAND, MA 01721-1187
(508) 881-3029
(508) 881-1752
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
213080
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110007912A
—
MA
Enumeration date
11/08/2005
Last updated
10/30/2023
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