Individual
DR. VASSILIKI PRAVODELOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
725 ALBANY ST, SHAPIRO 9, SUITE A, BOSTON, MA 02118-2526
(617) 638-6100
(617) 638-6179
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
270761
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
270761
MA
Other
Enumeration date
03/31/2013
Last updated
07/28/2017
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