Healthcare Provider Details

I. General information

NPI: 1053128728
Provider Name (Legal Business Name): AARAM HEALTH, PLLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2024
Last Update Date: 02/17/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 ARSENAL ST APT 187
WATERTOWN MA
02472-3076
US

IV. Provider business mailing address

204 ARSENAL ST APT 187
WATERTOWN MA
02472-3076
US

V. Phone/Fax

Practice location:
  • Phone: 216-312-0102
  • Fax:
Mailing address:
  • Phone: 216-312-0102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. PRANAV MURALIMOHAN-ANJAN REDDY
Title or Position: FOUNDING PHYSICIAN
Credential: MD, MPA
Phone: 617-575-9937