| Doctor Name: | MR. PRIYA SHANKAR NANDI |
| NPI Number: | 1205991551 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 35191 |
| Business Practice Address: | 2 Adams Place Suite 405 Quincy, MA - 021697456 |
| Business Phone Number: | 7819393500 |
| Business Fax Number: | 9819393570 |
| Mailing Address: | 100 Blueberry Lane, WESTWOOD |
| State: | MA |
| Postal Code: | 02090 |
| Phone Number: | 7817697575 |
| Fax Number: | 7817697535 |
| NPI Enumeration Date: | 12/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 35191 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |