SUSHMA RAVIRALA

BURLINGTON, MA
NPI1902328255
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: MA  1012998)
Enumeration Date2017-07-07
Last Update Date2023-12-20
Business Address
SUSHMA RAVIRALA MBBS
41 MALL RD
BURLINGTON, MA 01805-1716
Phone number: 781-744-8000
Mailing Address
SUSHMA RAVIRALA MBBS
PROVIDER ENROLLMENT 41 MALL ROAD
BURLINGTON, MA 01805-0001
Phone number: