Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 274387 | MA |
NPI | 1013250315 |
---|---|
Provider Name | Mr. Kadhiresan Raja Murugappan |
First Address | Boston, MA 02215-5400 |
Second Address | Boston, MA 02215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2013 |
Last Update Date | 21/05/2018 |