SUBHASREE PANCHANGAM (NPI# 1760809818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760809818 |
| Entity Type | Individual |
| Full Name | SUBHASREE PANCHANGAM |
| Credential | M.D. |
| Practice Address |
830 Harrison Ave Bldg 3500 Boston MA 02118-2905 |
| Practice Telephone | 6176388776 |
| Practice Fax Number | 6174148772 |
| Mailing Telephone | 1763887766 |
| Mailing Fax Number | 6174148772 |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
BP10061062 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
283694 | MA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | NV | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2040 W Charleston Blvd, Las Vegas, NV 891022227 | 7026712341 | |
| 4800 Alberta Ave, El Paso, TX 799052709 | (915) 545-6618 | 9155456634 |
| Street Address |
830 HARRISON AVE BLDG 3500 |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-2905 |
| 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 | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 |
|---|---|---|---|---|
| 1194992834 | Vassilios James Bezzerides | Internal Medicine | 300 Longwood Ave # Enders12, Boston, MA 02115-5724 | 2008-05-12 |
| 1417949041 | Kimberly Anise Powers | Internal Medicine | 8 Hawthorne Pl, Suite 110, Boston, MA 02114-2335 | 2005-08-19 |
| 1669097275 | Zain Sharif | Internal Medicine | 55 Fruit St, Boston, MA 02114 | 2020-06-09 |
| 1285110908 | Pierre Qian | Internal Medicine | 75 Francis St, Boston, MA 02115-6106 | 2018-07-16 |
| 1447764253 | Cardiovascular Center At Tufts Medical Center, Inc. | Internal Medicine | 800 Washington St, Boston, MA 02111-1552 | 2017-12-01 |
| 1568983179 | Allon Eyal | Internal Medicine | 185 Pilgrim Rd # Baker4, Boston, MA 02215-5324 | 2017-07-05 |
| 1811349673 | Audrey Dionne | Internal Medicine | 300 Longwood Ave, Cardiology Departement, Boston, MA 02115-5724 | 2016-07-05 |
| 1083000616 | Saagar Mahida | Internal Medicine | 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02446 | 2015-04-10 |
| 1285059170 | Mina Ghobrial | Internal Medicine | 72 E Concord St, Boston, MA 02118-2642 | 2014-02-28 |
| 1285977082 | Edward T O'leary | Internal Medicine | 300 Longwood Ave, Boston, MA 02115-5724 | 2013-03-29 |
| 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.