Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 240732 | MA |
Y | 2080P0208X | Pediatric Infectious Diseases | 250932 | MA |
N | 2080P0210X | Pediatric Nephrologist | 250932 | MA |
NPI | 1851521124 |
---|---|
Provider Name | Dr. Lakshmi Ganapathi |
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 | 21/07/2009 |
Last Update Date | 07/07/2016 |