Kommineni, Devika
Kommineni, Devika is an individual health care provider with primary practice located at 246 Maple St , Marlborough MA 01752-3235. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kommineni, Devika can be contacted via phone (087) 860-7075.Contact Information
Primary practice address
246 Maple St
Marlborough MA 01752-3235
Phone: (087) 860-7075
Fax: (528) 351-0173
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 213080 | Massachusetts |
Profile Details
NPI number | 1801877741 |
---|---|
LBN Legal business name | Kommineni, Devika |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 8th, 2005 |
Last updated | Oct 30th, 2023 - about last year |
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 | 1801877741 | NPPES |
Massachusetts | MEDICAID | 110007912A |
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