Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 260959 | MA |
N | 207R00000X | Internist | 2013004981 | MO |
N | 111NI0900X | Internist | 2013004981 | MO |
N | 207RA0201X | Internist - Allergy & Immunology | 260959 | MA |
N | 208000000X | Pediatrician | 260959 | MA |
NPI | 1740444991 |
---|---|
Provider Name | Dr. Anilkumar Katta |
First Address | Burlington, MA 01805-0001 |
Second Address | Burlington, MA 01805-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2008 |
Last Update Date | 21/03/2015 |