MEDICARE: KEERTHI BANDI

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	208M00000X	Hospitalist Physician	1021699	MA

General Provider Information

NPI Number	:	1568947927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEERTHI BANDI

Provider Business Mailing Address
First Line	:	330 BROOKLINE AVE
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02215-5491
Country	:	US
Telephone Number	:	617-667-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 BROOKLINE AVE
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02215-5491
Country	:	US
Telephone Number	:	617-667-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2018
Last Update Date	:	01/08/2026

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Directions to “ KEERTHI BANDI ” Practice Location

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