Individual provider · Type 1 NPI

Madhavi Padukkavidana, M.A., M.A.

Student in an Organized Health Care Education/Training Program · Quincy, MA

NPI number 1114556339 Active

Practice location

859 Willard St
Quincy, MA 02169-7482

Call (617) 689-1880 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114556339

Madhavi Padukkavidana, M.A., M.A.'s National Provider Identifier is 1114556339, issued on Apr 8, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Quincy, MA. The record was last updated on Aug 15, 2020.