Provider Demographics
NPI:1609239573
Name:NAMBUDIRI, NAVYA (MD)
Entity Type:Individual
Prefix:DR
First Name:NAVYA
Middle Name:
Last Name:NAMBUDIRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ATRIUS HEALTH, INC.
Mailing Address - Street 2:291 INDEPENDENCE DRIVE
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-3628
Mailing Address - Country:US
Mailing Address - Phone:617-541-6520
Mailing Address - Fax:617-541-6444
Practice Address - Street 1:ATRIUS HEALTH, INC.
Practice Address - Street 2:291 INDEPENDENCE DRIVE
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-3628
Practice Address - Country:US
Practice Address - Phone:617-541-6520
Practice Address - Fax:617-541-6444
Is Sole Proprietor?:No
Enumeration Date:2016-03-29
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA279893207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine