Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 281971 | MA |
NPI | 1013320209 |
---|---|
Provider Name | Harish Shanthanu Seethapathy |
First Address | Rochester, NY 14621-3001 |
Second Address | Boston, MA 02114-2752 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2014 |
Last Update Date | 17/06/2020 |