Provider Demographics
NPI:1316051212
Name:SCOTT, NANDITA SRIVIDYA (MD)
Entity type:Individual
Prefix:DR
First Name:NANDITA
Middle Name:SRIVIDYA
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NANDITA
Other - Middle Name:SRIVIDYA
Other - Last Name:SEKAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, FACC
Mailing Address - Street 1:MASSACHUSETTS GENERAL HOSPITAL
Mailing Address - Street 2:55 FRUIT STREET
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02043
Mailing Address - Country:US
Mailing Address - Phone:617-724-1739
Mailing Address - Fax:
Practice Address - Street 1:55 FRUIT STREET YAW 5
Practice Address - Street 2:MASSACHUSETTS GENERAL HOSPITAL
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:617-724-1739
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA210604207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
2501652OtherUNITED
7370936002OtherCIGNA
7506363OtherAETNA US HEALTHCARE
J24604OtherBLUE SHIELD
MA0168246Medicaid
P00059034OtherRAILROAD MEDICARE
304112OtherHARVARD PILGRIM
456950OtherTUFTS
014843013OtherCHAMPUS
A33541Medicare ID - Type Unspecified
456950OtherTUFTS