Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 227607 | MA |
N | 208000000X | Pediatrician | MD12190 | RI |
Y | 2084N0402X | Child Neurologist | 227607 | MA |
N | 2084N0402X | Child Neurologist | MD12190 | RI |
NPI | 1023042785 |
---|---|
Provider Name | Chellamani Harini |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02115-5724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 13/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H19231 | (02) |