Dr. Nagagopal Venna
Neurologist
15 Parkman St Wac 835
Boston
, Massachusetts 02114-3117
Dr. Nagagopal Venna
Neurologist
15 Parkman St Wac 835
Boston
, Massachusetts 02114-3117
(617) 726-6991
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Dr. Nagagopal Venna
- Po Box 9142
- Charlestown, MA
- Zip : 02129-9142
- Fax : (617) 726-6991
- Phone : (617) 726-7643
Second Address
- Dr. Nagagopal Venna
- 15 Parkman St Wac 835
- Boston, MA
- Zip : 02114-3117
- Fax : (617) 726-6991
- Phone : (617) 726-5533
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | 41708 | MA |
National Provider Identifier
| NPI | 1013998160 |
|---|---|
| Provider Name | Dr. Nagagopal Venna |
| First Address | Charlestown, MA 02129-9142 |
| Second Address | Boston, MA 02114-3117 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/11/2005 |
| Last Update Date | 07/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2070057 | (05) | MA |
| 712756 | TUFTS HEALTH PLAN (01) | MA |
| A67073 | (02) | |
| M09965 | BCBS MA (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.