Provider Demographics
NPI:1811788698
Name:PREETHI, ATHOTA SAI (MBBS, MD)
Entity type:Individual
Prefix:
First Name:ATHOTA
Middle Name:SAI
Last Name:PREETHI
Suffix:
Gender:F
Credentials:MBBS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10-5-11/54, FNO-GF-1 DURGA TOWERS RAMNAGAR
Mailing Address - Street 2:
Mailing Address - City:VISAKHAPATNAM
Mailing Address - State:ANDHRA PRADESH
Mailing Address - Zip Code:530002
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:330 BROOKLINE AVENUE
Practice Address - Street 2:BETH ISRAEL DEACONESS MEDICAL CENTRE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:617-667-3524
Practice Address - Fax:617-667-3513
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3018109390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program