Individual
DR. ATEEV MEHROTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE # SPAN2, BOSTON, MA 02215-5400
(617) 754-4677
(617) 632-0215
Mailing address
330 BROOKLINE AVE # SPAN2, BOSTON, MA 02215-5400
(617) 754-4677
(617) 632-0215
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
205042
MA
208000000X
Pediatrics Physician
205042
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2070821
—
MA
01
—
469258
TUFTS HEALTH PLAN
MA
01
—
J28161
BCBS MA
MA
Enumeration date
11/03/2005
Last updated
02/21/2017
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