Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 075375 | GA |
N | 111NI0900X | Internist | 075375 | GA |
N | 207RC0200X | Critical Care Medicine | MD16342 | RI |
Y | 207RP1001X | Pulmonary Disease | MD16342 | RI |
N | 207RS0012X | Sleep Medicine | 075375 | GA |
N | 207RS0012X | Sleep Medicine | MD16342 | RI |
NPI | 1366738387 |
---|---|
Provider Name | Dr. Sandeep Arepally |
First Address | Boston, MA 02130-2958 |
Second Address | Boston, MA 02111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2011 |
Last Update Date | 16/09/2021 |