Vasudev Mandyam, MD

NPI 1366602203 · on the registry since 2008 · sole proprietor

Practice

Address: 801 Massachusetts Ave
Suite 6b, Crosstown Bldg
Boston, MA 02118
Phone: (617) 414-5951
Fax: (617) 414-9201
Organisation at this address: Boston Medical Center Corporation
Boston Medical Center Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 446

Additional practice sites

45 Dimock St, Roxbury, MA
801 Massachusetts Ave, Boston, MA

Registry record

Primary taxonomy: 207R00000X
207R00000X
Licence states on file: MA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-11-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts