Individual
ATUL MAINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
002108
NY
208600000X
Surgery Physician
Primary
239516
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02586827
—
NY
01
—
239516
MA BORM LICENSE
MA
01
—
M0000000
MEDICARE (PENDING)
MA
Enumeration date
04/18/2006
Last updated
01/10/2011
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