MEDICARE: SARASWATHI DEVI V MUPPANA M.D.

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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	242209	MA
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	242209	MA
3	207RP1001X	Pulmonary Disease Physician	242209	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	70010000J48324	OTHER	MA	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063461572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARASWATHI DEVI V MUPPANA M.D.

Provider Business Mailing Address
First Line	:	100 HIGHLAND ST
Second Line	:	STE 103
City	:	MILTON
State	:	MA
Zip	:	02186-3801
Country	:	US
Telephone Number	:	617-696-9600
Fax Number	:	617-969-4308

Provider Business Practice Location Address
First Line	:	100 HIGHLAND ST
Second Line	:	STE 103
City	:	MILTON
State	:	MA
Zip	:	02186-3801
Country	:	US
Telephone Number	:	617-696-9600
Fax Number	:	617-690-3048

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	06/11/2019

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