Individual
NANDITHA SHIVAPRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 HARRISON AVE, BOSTON, MA 02118-2905
(908) 268-4092
Mailing address
25 HEARTHSTONE CIR, NATICK, MA 01760-1333
(908) 268-4092
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
292870
MA
Other
Enumeration date
04/17/2019
Last updated
06/29/2025
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