Individual
DANAI KHEMASUWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
77 WARREN ST FL 2, BRIGHTON, MA 02135-3601
(617) 789-2545
(617) 779-6798
Mailing address
77 WARREN ST FL 2, BRIGHTON, MA 02135-3601
(617) 789-2545
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
9396470-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
273373
MA LICENSE
MA
Enumeration date
07/02/2007
Last updated
09/15/2021
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