MEDICARE: PRODYUT K PODDAR

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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	50729	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437156395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRODYUT K PODDAR

Provider Business Mailing Address
First Line	:	340 MAIN STREET
Second Line	:	SUITE 670
City	:	WORCESTER
State	:	MA
Zip	:	01608-1604
Country	:	US
Telephone Number	:	508-754-3566
Fax Number	:	508-438-6368

Provider Business Practice Location Address
First Line	:	800 W. CUMMINGS PARK
Second Line	:	SUITE 4700
City	:	WOBURN
State	:	MA
Zip	:	01801-6372
Country	:	US
Telephone Number	:	781-932-6487
Fax Number	:	781-932-6486

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

Provider Enumeration Date	:	07/06/2005
Last Update Date	:	12/06/2011

Similar Medicare Providers

1033199732 — WINCHESTER HOSPITAL
Practice Location Address:

800 W CUMMINGS PARK , SUITE 5000
WOBURN, MA
01801-6372

Practice Phone: 781-756-2488
Practice Fax: 781-756-2489

1275590515 — DR. KIMBERLY C COLE M.D.
Practice Location Address:

800 W CUMMINGS PARK STE 4050
WOBURN, MA
01801-6372

Practice Phone: 781-787-3003
Practice Fax: 781-281-2406

1891746558 — NANCY A PATTERSON PT
Practice Location Address:

800 W CUMMINGS PARK , SUITE 4650
WOBURN, MA
01801-6372

Practice Phone: 781-933-5476
Practice Fax: 781-933-5710

1720030729 — FOREST PARK MRI ASSOCIATES, PC
Practice Location Address:

800 W CUMMINGS PARK , SUITE 1150
WOBURN, MA
01801-6372

Practice Phone: 781-932-8650
Practice Fax: 781-932-8619

1306882741 — DR. WYNNE HUANG M.D.
Practice Location Address:

800 W CUMMINGS PARK , SUITE 2250
WOBURN, MA
01801-6372

Practice Phone: 781-938-1888
Practice Fax: 781-938-8008

1255363842 — DR. RICARDO SANCHEZ MD
Practice Location Address:

800 W CUMMINGS PARK , SUITE 1150
WOBURN, MA
01801-6372

Practice Phone: 781-932-8650
Practice Fax: 781-932-8619

Directions to “ PRODYUT K PODDAR ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.