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NPI Code Detail

MEDICARE: SANGHAMITRA NAYAK

MEDICARE:   SANGHAMITRA  NAYAK
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
1225100000XPhysical TherapistPTL27080MA

General Provider Information

NPI Number : 1922826445
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANGHAMITRA NAYAK
Provider Business Mailing Address
First Line : 4 RICHMOND SQ
Second Line :
City : PROVIDENCE
State : RI
Zip : 02906-5117
Country : US
Telephone Number : 401-433-4172
Fax Number : 401-433-0612
Provider Business Practice Location Address
First Line : 142 NORTH RD
Second Line :
City : SUDBURY
State : MA
Zip : 01776-1142
Country : US
Telephone Number : 978-393-8778
Fax Number : 978-393-8393
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2024
Last Update Date : 01/07/2026

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Directions to “ SANGHAMITRA NAYAK ” Practice Location

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