Murali, Mandakolathur R
Murali, Mandakolathur R is an individual health care provider with primary practice located at 55 Fruit Street Cox 201, Boston MA 02114-3117. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Murali, Mandakolathur R can be contacted via phone (617) 726-3850.Contact Information
Primary practice address
55 Fruit Street Cox 201
Boston MA 02114-3117
Phone: (617) 726-3850
Fax: (617) 726-3847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 213978 | Massachusetts |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology | 207KI0005X | 213978 | Massachusetts |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 213978 | Massachusetts |
Profile Details
| NPI number | 1891718250 |
|---|---|
| LBN Legal business name | Murali, Mandakolathur R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | May 3rd, 2016 - about 10 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 | 1891718250 | NPPES |
| Massachusetts | Other | 213978 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 0169366 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J24730 | TUFTS HEALTH PLAN |
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