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PRODYUT K PODDAR NPI 1437156395


NPI Information

NPI: 1437156395
Provider Name: PRODYUT K PODDAR
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Individual
Address:
800 W. CUMMINGS PARK
SUITE 4700
WOBURN, MA
ZIP 01801
Phone: (781) 932-6487
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Prodyut K Poddar is a thoracic surgery cardiothoracic vascular surgery in Woburn, MA. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. Prodyut K Poddar NPI is 1437156395. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

800 W. CUMMINGS PARK
SUITE 4700
WOBURN, MA
ZIP 01801-372
Phone: (781) 932-6487
Fax: (781) 932-6486

The enumeration date for this NPI number is 7/6/2005 and was last updated on 12/6/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)50729MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B74165MEDICARE UPIN
2J01180MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
32076551MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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