Provider Demographics
NPI:1790071546
Name:WATKINS, AMMARA ABBASI (MD)
Entity Type:Individual
Prefix:DR
First Name:AMMARA
Middle Name:ABBASI
Last Name:WATKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-3213
Mailing Address - Country:US
Mailing Address - Phone:678-923-8816
Mailing Address - Fax:
Practice Address - Street 1:41 MALL ROAD LAHEY HOSPITAL & MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01805-5501
Practice Address - Country:US
Practice Address - Phone:781-744-8000
Practice Address - Fax:781-744-5246
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-21
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA248891390200000X
MA257502208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program