PRASANTHI KANDULA (NPI# 1225458185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225458185 |
| Entity Type | Individual |
| Full Name | PRASANTHI KANDULA |
| Practice Address |
1244 Boylston St Chestnut Hill MA 02467 |
| Mailing Address |
1244 Boylston St Chestnut Hill MA 02467-2116 |
| Practice Telephone | 6177311600 |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2018-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
274491 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
1244 BOYLSTON ST |
| City | CHESTNUT HILL |
| State | MA |
| Zip Code | 02467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215920004 | Karen H Kim | Specialist | 1244 Boylston St, Suite 302, Chestnut Hill, MA 02467 | 2005-08-26 |
| 1174156921 | V-care Pharmacy of Chestnut Hill LLC | Pharmacy | 1244 Boylston St, Chestnut Hill, MA 02467-2116 | 2020-02-20 |
| 1295075521 | Vassiliki Marica Cartsos | Dentist | 1244 Boylston St, Suite 205, Chestnut Hill, MA 02467-2116 | 2013-02-23 |
| 1841543055 | Tarah Beckwith Pava | Audiologist | 1244 Boylston St, Suite 303, Chestnut Hill, MA 02467-2116 | 2012-10-25 |
| 1629334198 | Nicole Yar-lute Lee | Dermatology | 1244 Boylston St, Chestnut Hill, MA 02467-2116 | 2012-04-09 |
| 1639499676 | Skincare Physicians St Elizabeths Inc | Dermatology | 1244 Boylston St, Suite 103, Chestnut Hill, MA 02467-2116 | 2010-06-01 |
| 1699005173 | Skincarephysicians | Dermatology | 1244 Boylston St, Suite 302, Chestnut Hill, MA 02467-2116 | 2010-01-06 |
| 1336477249 | Andrei Metelitsa | Dermatology | 1244 Boylston St, Chestnut Hill, MA 02467-2116 | 2009-12-04 |
| 1346494184 | Matthew P Bock | Podiatrist | 1244 Boylston St, Suite 101, Chestnut Hill, MA 02467-2116 | 2008-11-06 |
| 1902054976 | Wenfei Xie | Acupuncturist | 1244 Boylston St, Suite 203, Chestnut Hill, MA 02467-2116 | 2008-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013542810 | Joanne L. Faber | Nurse Practitioner | 136 Beverly Road, Chestnut Hill, MA 02467 | 2020-03-12 |
| 1992338859 | Kim Elizabeth Chaplain | Physical Therapy Assistant | 615 Heath Street, Chestnut Hill, Ma. 02467, Chestnut Hill, MA 02467 | 2020-02-19 |
| 1407325251 | Tara Paulauskas | Social Worker | 791 Hammond St, Chestnut Hill, MA 02467 | 2018-11-21 |
| 1932684776 | Jeannine Kremer | Social Worker | 140 Commonweakth Ave, Chestnut Hill, MA 02467 | 2018-09-27 |
| 1639671563 | Kathleen Houlihan | Social Worker | Boston College Campus School - Campion 197, 140 Commonwealth Ave, Chestnut Hill, MA 02467 | 2018-03-07 |
| 1609374891 | The Counseling Center At Cela | Counselor | 675 Vfw Parkway #271, Chestnut Hill, MA 02467 | 2018-01-23 |
| 1033566328 | Boston Body Evolution LLC | Specialist | 1290 Boylston Street, Chestnut Hill, MA 02467 | 2016-05-17 |
| 1669827630 | Mikayla Wynter | Counselor | 393 Hammond St, Chestnut Hill, MA 02467 | 2016-04-27 |
| 1043697675 | Accurate Care Afc, Inc. | Home Health | 50/56 Broadlawn Park, Apt 506, Chestnut Hill, MA 02467 | 2015-05-04 |
| 1609285360 | Oba LLC | Anesthesiology | 6 Eliot Crescent, Brookline, MA 02467 | 2014-08-07 |
| Find all providers in zip 02467 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341362 | Gary Mendese, Md, LLC | Dermatology | 23 Centennial Dr, Peabody, MA 01960-7901 | 2020-06-23 |
| 1053811430 | Leigh Melanson-adams | Dermatology | 382 Lowell St, Wakefield, MA 01880-1972 | 2018-02-13 |
| 1578073128 | Karen Carreiro | Dermatology | 775 Davol St Ste 3, Fall River, MA 02720-1028 | 2017-10-10 |
| 1538500988 | Skin Wellness Physicians, LLC | Dermatology | 85 Herrick St, Beverly Hospital Oncology Center, Beverly, MA 01915-1790 | 2013-07-15 |
| 1689012510 | Dennis Anthony Porto | Dermatology | 1 Maple Street, 2nd Floor, Milford, MA 01757 | 2013-06-13 |
| 1518204353 | Newton Watertown Dermatology Associates | Dermatology | 280 Washington St, Suite #212, Brighton, MA 02135-3511 | 2013-01-14 |
| 1922373018 | Frank R Vleugels | Dermatology | 221 Longwood Ave, Boston, MA 02115-5804 | 2012-03-21 |
| 1174729628 | Dermatology Consultants At Newton-wellesley PC | Dermatology | 2000 Washington St, B120, Newton Lower Falls, MA 02462-1602 | 2007-06-22 |
| 1093919078 | Dermatology and Laser Center of Western Mass Inc | Dermatology | 75 Post Office Park, Suite 7501, Wilbraham, MA 01095-1188 | 2007-06-13 |
| 1760698187 | Ayer Dermatology P.C. | Dermatology | 190 Groton Rd, Ayer, MA 01432-1124 | 2007-05-15 |
| Find all providers with the same taxonomy | ||||
| City | CHESTNUT HILL |
| Zip Code | 02467 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.