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
Phone: (617) 726-8305
Fax: (617) 726-5282
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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