Aneesh K Kizhakkedath, NP
Nurse Practitioner, Adult Health in Boston, Massachusetts
1578146791- Practice location
- 1 Deaconess RD, Boston, MA 02215-5321
- Phone
- 617-754-3180
- Fax
- 617-754-3184
- Last updated
- August 24, 2021
Aneesh K Kizhakkedath is a Nurse Practitioner, Adult Health based in Boston, MA. Aneesh K Kizhakkedath practices in Boston, MA and has the professional credentials of NP. The NPI Number for Aneesh K Kizhakkedath is 1578146791 and holds a License No. 266779 (MA). The current practice location address for Aneesh K Kizhakkedath is 1 Deaconess RD, Boston, MA 02215-5321 and can be reached out via phone at 617-754-3180 and via fax at 617-754-3184.
Provider Profile Details
- NPI Number
- 1578146791
- Provider Name
- Aneesh K Kizhakkedath
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Deaconess RD, Boston, MA 02215-5321
- Phone Number
- 617-754-3180
- Fax Number
- 617-754-3184
- Primary Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 5, 2021
- Last Update Date
- August 24, 2021
- Certification Date
- May 5, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Deaconess RD
Boston, MA 02215-5321 - City
- Boston
- State
- Massachusetts
- Zip
- 02215-5321
- Phone Number
- 617-754-3180
- Fax Number
- 617-754-3184
Provider Business Mailing Address Details
- Address
- 2 Bancroft St
Wilmington, MA 01887-2544 - City
- Wilmington
- State
- MA
- Zip
- 01887-2544
- Phone Number
- 857-919-2364
License Information
- License Number
- 266779
- License State
- MA
- Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Aneesh K Kizhakkedath, NP?
The NPI number of Aneesh K Kizhakkedath, NP is 1578146791. It was assigned on May 5, 2021 and is currently active in the NPPES registry.
What is the specialty of Aneesh K Kizhakkedath, NP?
Aneesh K Kizhakkedath, NP is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in MA under license number 266779.
Where does Aneesh K Kizhakkedath, NP practice?
The practice location is 1 Deaconess RD, Boston, MA 02215-5321. The office can be reached at 617-754-3180 (phone) or 617-754-3184 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578146791 directly on the NPPES registry website.