Individual
EVA TAKHALOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
45 STUART ST APT 2002, BOSTON, MA 02116-4765
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
287835
MA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
309471
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2018
Last updated
08/02/2024
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