Individual
JASVINDER S BHATIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 ALBANY ST, SHAPIRO 7, SUITE A, BOSTON, MA 02118-2526
(617) 414-8601
(617) 414-8664
Mailing address
801 ALBANY STREET, FL GROUND, BOSTON, MA 02119
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
160118
MA
207RN0300X
Nephrology Physician
Primary
160118
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110034004A
—
MA
Enumeration date
12/13/2005
Last updated
04/14/2021
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