Individual provider · Type 1 NPI

Nanditha Shivaprakash

Pediatric Emergency Medicine (Pediatrics) Physician · Boston, MA

NPI number 1811550700 Active

Practice location

840 Harrison Ave
Boston, MA 02118-2905

Mailing address

25 Hearthstone Cir
Natick, MA 01760-1333

Specialties and licenses

TaxonomyCodeLicense
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204X292870 (MA)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1811550700

Nanditha Shivaprakash's National Provider Identifier is 1811550700, issued on Apr 17, 2019. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Boston, MA. The record was last updated on Jun 29, 2025.