Kamireddi, Madhavi

Kamireddi, Madhavi is an individual health care provider with primary practice located at 289 Great Road Suite G1, Acton MA 01720. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Kamireddi, Madhavi can be contacted via phone (978) 679-1200.

Contact Information

Primary practice address
289 Great Road Suite G1 Acton MA 01720
Phone: (978) 679-1200
Fax: (978) 486-4037
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 223251 Massachusetts
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 223251 Massachusetts
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 223251 Massachusetts

Profile Details

NPI number 1255313466
LBN Legal business name Kamireddi, Madhavi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Jan 9th, 2019 - about 7 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 1255313466 NPPES
Massachusetts Other 043476807-17 PACIFICARE
Massachusetts Other 363646 PACIFICARE
Massachusetts Other 494182 PACIFICARE
Massachusetts MEDICAID 2105462 PACIFICARE
Massachusetts Other 01Y008389MA01 PACIFICARE
Massachusetts Other 967628 PACIFICARE
Massachusetts Other J28990 PACIFICARE
Massachusetts Other 800708000 PACIFICARE

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