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NPI Code Detail

MEDICARE: MR. RUDRA BAHADUR DARAI

MEDICARE: MR. RUDRA BAHADUR DARAI
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1598102543
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RUDRA BAHADUR DARAI
Provider Business Mailing Address
First Line : 960 MASSACHUSETTS AVE STE 2
Second Line :
City : BOSTON
State : MA
Zip : 02118-2690
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 BOSTON MEDICAL CTR PL
Second Line :
City : BOSTON
State : MA
Zip : 02118-2908
Country : US
Telephone Number : 617-414-5245
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2013
Last Update Date : 01/26/2026

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