Individual
DR. AKSHARANANDA RAMBACHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 643-0596
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
267124
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y455230208514
DRIVERS LICENSE
MN
Enumeration date
02/12/2015
Last updated
02/01/2017
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