Provider Demographics
NPI:1689475162
Name:RUMJAHN GRYTE, KAILAS (MD)
Entity type:Individual
Prefix:DR
First Name:KAILAS
Middle Name:
Last Name:RUMJAHN GRYTE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 MOUNT VERNON ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-7705
Mailing Address - Country:US
Mailing Address - Phone:617-785-1859
Mailing Address - Fax:
Practice Address - Street 1:98 MOUNT VERNON ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-7705
Practice Address - Country:US
Practice Address - Phone:617-785-1859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program