Healthcare Provider Details
I. General information
NPI: 1376367573
Provider Name (Legal Business Name): NAVYA CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/13/2024
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 BROADWAY
CAMBRIDGE MA
02142-1100
US
IV. Provider business mailing address
1 BROADWAY
CAMBRIDGE MA
02142-1100
US
V. Phone/Fax
- Phone: 650-796-5447
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174H00000X |
| Taxonomy | Health Educator |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QX0200X |
| Taxonomy | Oncology Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
NARESH
RAMARAJAN
Title or Position: CHIEF MEDICAL OFFICER
Credential: MD
Phone: 650-796-5447