Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 242209 | MA |
Y | 207RP1001X | Pulmonary Disease | 242209 | MA |
N | 207RS0012X | Sleep Medicine | 242209 | MA |
NPI | 1063461572 |
---|---|
Provider Name | Saraswathi Devi V Muppana |
First Address | Milton, MA 02186-3801 |
Second Address | Milton, MA 02186-3801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 11/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110088384A | (05) | MA |
70010000J48324 | BCBS (01) | MA |
I54088 | (02) |