Provider Demographics
NPI:1720582901
Name:SUBEDI, KRIPESH (MD)
Entity Type:Individual
Prefix:DR
First Name:KRIPESH
Middle Name:
Last Name:SUBEDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:801 ALBANY STREET FL GROUND
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02119
Mailing Address - Country:US
Mailing Address - Phone:617-414-7399
Mailing Address - Fax:617-638-3536
Practice Address - Street 1:801 MASSACHUSETTS AVENUE, CROSSTOWN 2
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118
Practice Address - Country:US
Practice Address - Phone:617-414-7399
Practice Address - Fax:617-638-3536
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2021-10-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA290037207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine