Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 80360 | MA |
Y | 207QA0505X | Family Doctor - Adult Medicine | 80360 | MA |
NPI | 1134190473 |
---|---|
Provider Name | Deepa Prakash Arya |
First Address | Boston, MA 02109-4806 |
Second Address | Burlington, MA 01803-4758 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 16/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
080360 | TUFTS (01) | MA |
2027461 | (05) | MA |
AA2921 | HARVARD PILGRIM (01) | MA |
F76412 | (02) | MA |
J14943 | BLUE CROSS (01) | MA |