Provider Demographics
NPI:1457386005
Name:NATIONAL HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:NATIONAL HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PUNYAMURTULA
Authorized Official - Middle Name:S
Authorized Official - Last Name:KISHORE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-738-4640
Mailing Address - Street 1:59 TEMPLE PL
Mailing Address - Street 2:SUITE 612
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1307
Mailing Address - Country:US
Mailing Address - Phone:617-264-9764
Mailing Address - Fax:617-264-9763
Practice Address - Street 1:32 KENT ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-7902
Practice Address - Country:US
Practice Address - Phone:617-383-6405
Practice Address - Fax:617-383-6404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty