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Individual

DR. SHYAM KUMAR TANGUTURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
75 FRANCIS ST, APARTMENT 603, BOSTON, MA 02115-6110
(617) 732-5500

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
247593
MA
2085R0001X
Radiation Oncology Physician
247593
MA
2085R0001X
Radiation Oncology Physician
Primary
257398
MA

Other

Enumeration date
06/07/2011
Last updated
07/14/2016
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