Provider Demographics
NPI:1467080457
Name:GIRI, VINAY KRISHNA (MD)
Entity Type:Individual
Prefix:
First Name:VINAY
Middle Name:KRISHNA
Last Name:GIRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:330 BROOKLINE AVENUE
Mailing Address - Street 2:SHAPIRO 941
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215
Mailing Address - Country:US
Mailing Address - Phone:617-667-2100
Mailing Address - Fax:617-667-3915
Practice Address - Street 1:330 BROOKLINE AVENUE
Practice Address - Street 2:SHAPIRO 941
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:617-667-2100
Practice Address - Fax:617-667-3915
Is Sole Proprietor?:No
Enumeration Date:2020-03-27
Last Update Date:2023-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
MA3013659207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program