Healthcare Provider Details
I. General information
NPI: 1285569954
Provider Name (Legal Business Name): RIAH LAUNGANI MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
201 BROADWAY STE 575
CAMBRIDGE MA
02139-2161
US
IV. Provider business mailing address
1846 COMMONWEALTH AVE APT 15
BRIGHTON MA
02135-5527
US
V. Phone/Fax
- Phone: 617-301-4232
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: