Kattapuram, Susan V

Kattapuram, Susan V is an individual health care provider with primary practice located at 55 Fruit St Radiological Associates Yaw 6, Boston MA 02114-2696. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Kattapuram, Susan V can be contacted via phone (617) 726-8305.

Contact Information

Primary practice address
55 Fruit St Radiological Associates Yaw 6 Boston MA 02114-2696
Fax: (617) 726-5282
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 43365 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 43365 Massachusetts

Profile Details

NPI number 1013907294
LBN Legal business name Kattapuram, Susan V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Aug 2nd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013907294 NPPES
Massachusetts Other 709682 TUFTS HEALTH PLAN
Massachusetts MEDICAID 2084171 TUFTS HEALTH PLAN
Massachusetts Other C05213 TUFTS HEALTH PLAN

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