PRAVEEN B GULATI (NPI# 1750350575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750350575 |
| Entity Type | Individual |
| Full Name | PRAVEEN B GULATI |
| Credential | MD |
| Practice Address |
100 South St Southbridge MA 01550-4051 |
| Mailing Address |
79 Sayles St Southbridge MA 01550-1729 |
| Practice Telephone | 5087659771 |
| Practice Fax Number | 5087649410 |
| Mailing Telephone | 5087640482 |
| Mailing Fax Number | 5087649410 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
46377 | MA | Allopathic & Osteopathic Physicians |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
46377 | MA | Allopathic & Osteopathic Physicians |
| X | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
46377 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2090244 | 05 | |
| MA | HARVARD PILGRIM | 24783 | 01 |
| MA | FALLON COMMUNITY HLTH PLA | 38409 | 01 |
| MA | TUFTS HEALTH PLAN | 316123 | 01 |
| MA | BLUE SHIELD | J09884 | 01 |
| Street Address |
100 SOUTH ST |
| City | SOUTHBRIDGE |
| State | MA |
| Zip Code | 01550-4051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720089063 | John Michael Tumolo | Internal Medicine | 100 South St, Suite 104, Southbridge, MA 01550-4051 | 2005-08-09 |
| 1093316473 | Julianne Brechtl | Counselor | 100 South St, Southbridge, MA 01550-4051 | 2020-11-03 |
| 1164029971 | Teesha Marie Carrasquillo | Social Worker | 100 South St, Southbridge, MA 01550-4051 | 2020-10-05 |
| 1851927347 | Brittany Moreau | Dietitian, Registered | 100 South St, Southbridge, MA 01550-4051 | 2020-03-17 |
| 1548892326 | Kally Ann Petka | Nurse Practitioner | 100 South St, Southbridge, MA 01550-4051 | 2020-02-10 |
| 1497309694 | Laurette E Mcdonald | Registered Nurse | 100 South St, Southbridge, MA 01550-4051 | 2019-07-26 |
| 1033775697 | Cydney Weiner | Physician Assistant | 100 South St, Southbridge, MA 01550-4051 | 2019-05-18 |
| 1245896281 | Heather Lynn Bingham | Counselor | 100 South St, Southbridge, MA 01550-4051 | 2019-05-15 |
| 1982165056 | Imaging Consultants Inc | Clinic/Center | 100 South St, Southbridge, MA 01550-4051 | 2019-03-29 |
| 1609345099 | Alyssa Rose Mitchell | Physician Assistant | 100 South St, Southbridge, MA 01550-4051 | 2018-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726765 | Nathanael Lopez | Counselor | 328 Main St Apt #1, Southbridge, MA 01550 | 2020-09-27 |
| 1356969497 | Sarah Anne Mcnulty | Registered Nurse | Harrington Hospital, 100 South Street, Southbridge, MA 01550 | 2020-07-06 |
| 1699316406 | Adrienne Ellen Soucy | Developmental Therapist | Kennedy Donovan Center, 486 Worcester St., Southbridge, MA 01550 | 2019-10-02 |
| 1184101610 | Charles D Fraser | Nurse Practitioner | 657 Worcester St Apt 204, Southbridge, MA 01550 | 2018-07-26 |
| 1689160954 | Christine Ann Surrette | Nurse Practitioner | 11 Sandersdale Rd, Southbridge, MA 01550 | 2018-07-10 |
| 1528560075 | Danielle Torre Aspinwall | Physician Assistant | 100 South Street Suite 208, Southbridge, MA 01550 | 2018-03-01 |
| 1215455829 | New Beginnings of Southbridge | Marriage & Family Therapist | 146 Ashland Ave Suite B, Southbridge, MA 01550 | 2017-09-03 |
| 1902323835 | Shannon Paisley | Counselor | 328 Main St. #1, Southbridge, NY 01550 | 2017-08-22 |
| 1811300023 | Mary Dayotas | Counselor | 176 Main St., Southbridge, MA 01550 | 2014-06-05 |
| 1962752121 | You Inc | Community/Behavioral Health | 238 Main Street, Southbridge, MA 01550 | 2012-09-14 |
| Find all providers in zip 01550 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972572329 | Abhijit Roychowdhury | Radiology | 100 South St, Southbridge, MA 01550-4051 | 2006-03-17 |
| 1578532917 | Mazzini Bueno | Radiology | 100 South St, Southbridge, MA 01550-4051 | 2006-03-17 |
| 1871562694 | Harrington Memorial Radiology, PC | Radiology | 100 South St, Southbridge, MA 01550-4051 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114010196 | James Stevan Nagel | Radiology | Va Boston, 1400 Vfw Pkwy, 2c-126, West Roxbury, MA 06032-4927 | 2006-10-02 |
| 1952324006 | Imaging Associates, Inc. | Radiology | 270 Centre St, Unit B, Holbrook, MA 02343-1073 | 2006-07-26 |
| 1316351323 | Shahein Holmes Tajmir | Radiology | 55 Fruit St, Fnd 201, Boston, MA 02114-2621 | 2014-06-17 |
| 1487909412 | Liran Domachevsky | Radiology | 375 Boylston St, Brookline, MA 02445-6007 | 2012-07-16 |
| 1508059296 | Katherine Anne Zukotynski | Radiology | 75 Francis St, Department of Radiology, Boston, MA 02115-6110 | 2007-08-25 |
| 1417157595 | Sturdy Radiology Associates, LLC | Radiology | 211 Park Street, Attleboro, MA 02703-3143 | 2007-07-18 |
| 1609991439 | Atrius Health, Inc. | Radiology | 51 Performance Drive, Weymouth, MA 02189 | 2007-03-20 |
| 1093805368 | Harriet J Paltiel | Radiology | 300 Longwood Ave, Boston, MA 02115-5724 | 2006-10-14 |
| 1700983467 | Samson Munn | Radiology | 800 Washington Street, Tufts Medical Center, Box 299, Boston, MA 02111-1552 | 2006-09-17 |
| 1063529089 | Judith F Katz | Radiology | 800 Washington St, Box 7105, Boston, MA 02111-1526 | 2006-08-24 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHBRIDGE |
| Zip Code | 01550 |
Please comment or provide details below to improve the information on PRAVEEN B GULATI.
| 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.