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Sanjay Mudigonda, MD
Diagnostic Radiology Physician in Newton, Massachusetts
NPI 1942277983

Sanjay Mudigonda is a Diagnostic Radiology Physician based in Boston, MA and is specialized in Diagnostic Radiology. Sanjay Mudigonda practices in Newton, MA and has the professional credentials of MD. The NPI Number for Sanjay Mudigonda is 1942277983 and holds a License No. 221962 (Massachusetts).

The current practice location address for Sanjay Mudigonda is 2014 Washington Street, Newton, MA and can be reached out via phone at 617-243-6162 and via fax at 207-347-7401.

Location: 2014 Washington Street, Newton, MA, 02241-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942277983
Provider Name
Sanjay Mudigonda
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2014 Washington Street, Newton, MA, 02241-0001
Phone Number
617-243-6162
Fax Number
207-347-7401
Provider Enumeration Date
03/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2066262 05 MA
J28221 01 MA BLUE CROSS BLUE SHIELD
467604 01 MA TUFTS HEALTH CARE
institution
Provider Business Practice Location Address Details
Address
2014 Washington Street
City
Newton
State
Massachusetts
Zip
02462
Phone Number
617-243-6162
Fax Number
207-347-7401
person
Provider Business Mailing Address Details
Address
2014 Washington Street
City
Newton
State
Massachusetts
Zip
02462
Phone Number
617-243-6162
Fax Number
207-347-7401
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
221962 (Massachusetts)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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