Provider Demographics
NPI:1386248730
Name:SEN, OINDRI (PHARMD)
Entity type:Individual
Prefix:
First Name:OINDRI
Middle Name:
Last Name:SEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 FRANKLIN ST APT 102
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-3181
Mailing Address - Country:US
Mailing Address - Phone:518-364-8359
Mailing Address - Fax:
Practice Address - Street 1:532 MEDFORD ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02145-2657
Practice Address - Country:US
Practice Address - Phone:617-628-1401
Practice Address - Fax:617-623-8227
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH239127183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110087465FMedicaid