SHRAVYA BUDIDI (NPI# 1144761438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144761438 |
| Entity Type | Individual |
| Full Name | SHRAVYA BUDIDI |
| Practice Address |
72 E Concord St # 2600 Boston MA 02118-2642 |
| Mailing Address |
725 Albany St Fl 9 Boston MA 02118-3549 |
| Practice Telephone | 6174144639 |
| Mailing Telephone | 6174144639 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 125.071069 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
281492 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1775 Ballard Rd, Park Ridge, IL 600681005 | 8473186020 |
| Street Address |
72 E CONCORD ST # 2600 |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-2642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1306220900 | Mariuxi Alexandra Viteri Malone | Internal Medicine | 725 Albany Street, Shapiro 9, Boston, MA 02118 | 2015-07-13 |
| 1043620545 | Cynthia Schoettler | Internal Medicine | 110 Francis St Ste 1a, Boston, MA 02215 | 2014-05-06 |
| 1891727319 | Jane A Driver | Internal Medicine | Division of Aging, 1620 Tremont Street, Boston, MA 02120 | 2006-07-07 |
| 1801853205 | Erin Colleen O'fallon | Internal Medicine | 75 Francis Street Brigham and Womens Hospital, Pbb-b-4-room 428, Boston, MA 02215 | 2006-04-28 |
| 1851357198 | Juergen Bludau | Internal Medicine | 1620 Tremont Street, Brigham and Womens Hospital Division of Aging, Boston, MA 02120 | 2006-04-25 |
| 1386616670 | Lin-yuh Jenny Lee | Internal Medicine | 885 Washington St, Boston, MA 02111-1415 | 2006-02-02 |
| 1760460844 | Patricia N O'sullivan | Internal Medicine | Beth Israel Deaconess Medical Center, 300 Brookline Avenue, Boston, MA 02215 | 2006-01-09 |
| 1598366098 | Higuchi Medical Care, Pllc | Internal Medicine | 70 Fulton St, Boston, MA 02109-1402 | 2020-11-03 |
| 1285285841 | Sarah Lauren Sy | Internal Medicine | 330 Brookline Ave, Boston, MA 02215 | 2019-09-25 |
| 1619454733 | Kirstyn James | Internal Medicine | 110 Francis St, Boston, MA 02215-5501 | 2018-07-21 |
| Find all providers in BOSTON | ||||
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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.