Provider Demographics
NPI:1699760538
Name:VELLAYAPPAN, USHA (MD)
Entity type:Individual
Prefix:
First Name:USHA
Middle Name:
Last Name:VELLAYAPPAN
Suffix:
Gender:
Credentials:MD
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Mailing Address - Street 1:960 MASSACHUSETTS AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2690
Mailing Address - Country:US
Mailing Address - Phone:617-414-4505
Mailing Address - Fax:
Practice Address - Street 1:736 CAMBRIDGE ST
Practice Address - Street 2:DEPT OF ANESTHESIOLOGY CMP 2
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-2907
Practice Address - Country:US
Practice Address - Phone:617-789-2777
Practice Address - Fax:617-254-6384
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2025-03-17
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Provider Licenses
StateLicense IDTaxonomies
MA158699207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology