Individual
SHARMILA DORBALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 FRANCIS ST, RADIOLOGY BRIGHAM & WOMANS HOSPITAL, BOSTON, MA 02115
(617) 732-6269
(617) 525-7333
Mailing address
75 FRANCIS ST, RADIOLOGY BRIGHAM & WOMANS HOSPITAL, BOSTON, MA 02115
(617) 732-6269
(617) 525-7333
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
208653
MA
207UN0901X
Nuclear Cardiology Physician
Primary
208653
MA
2085R0202X
Diagnostic Radiology Physician
208653
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141950
—
MA
01
—
208653
TUFTS HEALTH PLAN
MA
01
—
J23932
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/10/2006
Last updated
08/08/2012
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