MEDICARE: APEX MULTISPECIALITY MEDICAL ASSOCIATES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1376235671
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APEX MULTISPECIALITY MEDICAL ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	100 HIGHLAND ST STE 103
Second Line	:
City	:	MILTON
State	:	MA
Zip	:	02186-3801
Country	:	US
Telephone Number	:	617-696-9600
Fax Number	:	617-690-3048

Provider Business Practice Location Address
First Line	:	100 HIGHLAND ST STE 103
Second Line	:
City	:	MILTON
State	:	MA
Zip	:	02186-3801
Country	:	US
Telephone Number	:	617-696-9600
Fax Number	:	617-690-3048

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SARASWATHI DEVI V MUPPANA
Credential	:	MD
Telephone Number	:	617-696-9600

Provider Enumeration Date	:	05/24/2023
Last Update Date	:	05/24/2023

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