Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Goutam Gadiraju

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1548063167

Goutam Gadiraju is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

55 Fruit St
Boston, MA 02114-2696
Phone: (617) 726-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1548063167
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 29, 2025
Last updated in NPPESMarch 29, 2025
Certification dateMarch 29, 2025

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