DR. MITHUN S. NALLARI (NPI# 1902130891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902130891 |
| Entity Type | Individual |
| Full Name | DR. MITHUN S. NALLARI |
| Credential | M.D. |
| Practice Address |
23 Warren Avenue Suite #100 Woburn MA 01801-4979 |
| Mailing Address |
P.o. Box 760 Winchester MA 01890-4260 |
| Practice Telephone | 7819331198 |
| Practice Fax Number | 7819339246 |
| Mailing Telephone | 7817567273 |
| Mailing Fax Number | 7817210725 |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2011-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 243569 | MA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 241559 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
23 WARREN AVENUE SUITE #100 |
| City | WOBURN |
| State | MA |
| Zip Code | 01801-4979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267684 | Leticia Siqueiros | Counselor | Health Care Resource Center Woburn, 9 Forbes Rd, Woburn, MA 01801 | 2019-10-28 |
| 1144882739 | Sarah Martino | Registered Nurse | 7 Alfred Street, Baldwin Park II, Woburn, MA 01801 | 2019-07-03 |
| 1780154005 | Julie Paster-kinnicutt | Social Worker | Lahey Accountable Care Unit, 12 Alfred Street, Suite 207, Woburn, MA 01801 | 2018-11-29 |
| 1164906418 | Amanda Chryslan Scippa | Dietitian, Registered | 2 Oak Knoll Drive, Woburn, MA 01801 | 2018-09-22 |
| 1902383276 | Winchester Physician Associates, Inc. | Occupational Therapist | 100 Unicorn Park, Suite 102, Woburn, MA 01801 | 2018-07-19 |
| 1104317494 | Pauline P Reilly | Dentist | 90 Pleasant Street, Dental Health Care of Woburn, P. C., Woburn, MA 01801 | 2018-05-23 |
| 1134628027 | Caroline Rose Scheck | Behavior Technician | 331 Montvale Ave 5th Floor, Woburn, MA 01801 | 2018-02-06 |
| 1396252425 | Sabrina Voegelin | Social Worker | 410 Russell St, Woburn, MA 01801 | 2018-01-10 |
| 1467975730 | Francine Forbes | Behavior Technician | 10 Gill St., J, Woburn, MA 01801 | 2017-07-19 |
| 1568985851 | Lukasiewicz and Bellavance LLC | Dentist | 3 Baldwin Green Common Suite 101, Woburn, MA 01801 | 2017-07-19 |
| Find all providers in zip 01801 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699805549 | Middlesex Community Physicians, Inc. | Internal Medicine | 600 W Cummings Park Ste 1900, C/o Leo M Cass Md PC, Woburn, MA 01801-6469 | 2007-03-07 |
| 1225177017 | David E. P. Fitzpatrick | Internal Medicine | Woburn Board of Health, Woburn, MA 01821 | 2007-02-06 |
| 1437226651 | Shiva Gupta | Internal Medicine | 7 Alfred St Ste 370, Woburn, MA 01801-1929 | 2006-11-30 |
| 1255328522 | Malini Sharma | Internal Medicine | 23 Warren Ave, Suite 100, Woburn, MA 01801-4979 | 2005-10-03 |
| 1265428411 | Emily G Lowry | Internal Medicine | 2 Rehabilitation Way, Woburn, MA 01801-6003 | 2005-09-23 |
| 1366009540 | Alla Tibbetts PC | Internal Medicine | 2 Rehabilitation Way, Woburn, MA 01801-6003 | 2019-05-23 |
| 1144732868 | Wlb Rehabilitation Medicine Associates LLC | Internal Medicine | 2 Rehabilitation Way, Woburn, MA 01801 | 2017-11-03 |
| 1811424120 | Anjum Baqai Md Associates Pllc | Internal Medicine | 2 Rehabilitation Way, Woburn, MA 01801-6003 | 2017-05-17 |
| 1013366624 | Hudgens Pllc | Internal Medicine | 2 Rehabilitation Way, Woburn, MA 01801-6003 | 2016-06-06 |
| 1285083972 | Jason Grunes Pllc | Internal Medicine | 2 Rehabilitation Way, Woburn, MA 01801-6003 | 2016-06-03 |
| Find all providers in WOBURN | ||||
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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.