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
Fax: (528) 351-0173
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801877741 NPPES
Massachusetts MEDICAID 110007912A

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