Individual provider · Type 1 NPI

Joel Kevin Raj Samuel Gnanam, MBBS, MD

Diagnostic Radiology Physician · Boston, MA

NPI number 1609654136 Active

Practice location

55 Fruit St Rm 197
Boston, MA 02114-2696

Call (617) 724-5246 Map

Mailing address

55 Fruit St, Blk Sb Rm 0029A
Boston, MA 02114

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X1023727 (MA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1609654136

Joel Kevin Raj Samuel Gnanam, MBBS, MD's National Provider Identifier is 1609654136, issued on Sep 18, 2023. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Boston, MA. The record was last updated on Nov 4, 2025.