Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Joel Kevin Raj Samuel Gnanam, MBBS, MD

Individual provider Diagnostic Radiology Physician · NPI 1609654136

Dr. Joel Kevin Raj Samuel Gnanam, MBBS, MD is a Diagnostic Radiology in Boston, Massachusetts. Qualified in 2017, 9 years ago. Practices with Massachusetts General Physicians Organization Inc, a 3,484-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
9
Licensed in
MA
In the registry since
2023
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Fruit St Rm 197
Boston, MA 02114-2696
Phone: (617) 724-5246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 1023727 (MA)

Record details

NPI number1609654136
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBS , MD
Sole proprietorNo
NPI enumeratedSeptember 18, 2023
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Massachusetts General Physicians Organization Inc — 3484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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