Provider Demographics
NPI:1780640458
Name:VISWANATHAN, AKILA (MD MPH)
Entity Type:Individual
Prefix:
First Name:AKILA
Middle Name:
Last Name:VISWANATHAN
Suffix:
Gender:F
Credentials:MD MPH
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Other - Credentials:
Mailing Address - Street 1:111 CYPRESS ST
Mailing Address - Street 2:BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445
Mailing Address - Country:US
Mailing Address - Phone:617-582-1200
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS STREET ASB1-L2
Practice Address - Street 2:BRIGHAM AND WOMENS HOSPITAL RADIATION ONCOLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-632-7325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2012-08-29
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA1582942085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology