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Provider Information for 1174663322

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. SITARAM MANOHAR EMANI M.D.

Gender: MALE

Individual NPI: 1174663322

Calendar   Last Updated:  2008-10-22
  Certification Date: 

Details

Name Value
NPI 1174663322
Enumeration Date 2007-02-07
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 300 LONGWOOD AVE FA-144
BOSTON, MA 02115-5724
United States

Phone: 617-355-4104 | Fax: 617-730-0214
View Map External Link
Primary Practice Address 300 LONGWOOD AVE FA-144
BOSTON, MA 02115-5724
United States

Phone: 617-355-4104 | Fax: 617-730-0214
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other BCBS MA J41625
Other HPHC MA AA90483
MEDICAID MA 2144026
Other TUFTS MA 496097
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) MA 231571