IndividualActive
Kelliann Banaian, PNP-AC
NPI 1942131685 · Pediatric Cardiology Physician · Boston, MA
Provider details
- NPI number
- 1942131685
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- PNP-AC
- Sex
- Female
- Sole proprietor
- No
- License
- 2346281 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6000
Approximate (ZIP-level) locationGet directions
Mailing address
300 Longwood Ave
Boston, MA 02115-5724
Registry dates
- Enumerated
- 2026-05-28
- Last updated
- 2026-05-28
- Certified
- 2026-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.