Individual
DR. ATUL K BHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS MD
Contact information
Practice address
55 FRUIT ST, WARREN 501, BOSTON, MA 02114-2621
(617) 726-2588
(617) 726-2365
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207ZI0100X
Immunopathology Physician
37653
MA
207ZP0101X
Anatomic Pathology Physician
Primary
37653
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067418
TUFTS HEALTH PLAN
MA
05
—
2091496
—
MA
01
—
M09066
BCBS MA
MA
Enumeration date
10/28/2005
Last updated
12/08/2010
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