Poddar, Prodyut K

Poddar, Prodyut K is an individual health care provider with primary practice located at 800 W. Cummings Park Suite 4700, Woburn MA 01801-6372. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Poddar, Prodyut K can be contacted via phone (781) 932-6487.

Contact Information

Primary practice address
800 W. Cummings Park Suite 4700 Woburn MA 01801-6372
Phone: (781) 932-6487
Fax: (781) 932-6486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 50729 Massachusetts

Profile Details

NPI number 1437156395
LBN Legal business name Poddar, Prodyut K
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Dec 6th, 2011 - 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 1437156395 NPPES
Massachusetts MEDICAID 2076551

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