Prasanthi Kandula
Procedural Dermatology
1244 Boylston St
Chestnut Hill
, Massachusetts 02467
Prasanthi Kandula
Procedural Dermatology
1244 Boylston St
Chestnut Hill
, Massachusetts 02467
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About
Features
Specialties
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Prasanthi Kandula
- 1244 Boylston St
- Chestnut Hill, MA
- Zip : 02467-2116
- Phone :
Second Address
- Prasanthi Kandula
- 1244 Boylston St
- Chestnut Hill, MA
- Zip : 02467
- Phone : (617) 731-1600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207NS0135X | Procedural Dermatology | 274491 | MA |
National Provider Identifier
| NPI | 1225458185 |
|---|---|
| Provider Name | Prasanthi Kandula |
| First Address | Chestnut Hill, MA 02467-2116 |
| Second Address | Chestnut Hill, MA 02467 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2014 |
| Last Update Date | 24/07/2018 |
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.