Individual
DR. PRIYA KOHLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY VA DIVISION OF CARDIOVASCULAR MEDICINE, WEST ROXBURY, MA 02132-4927
(617) 323-7700
Mailing address
1400 VFW PKWY, WEST ROXBURY VA DIVISION OF CARDIOVASCULAR MEDICINE, WEST ROXBURY, MA 02132-4927
(617) 323-7700
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036117212
IL
207RC0000X
Cardiovascular Disease Physician
Primary
249486
MA
207RC0000X
Cardiovascular Disease Physician
MD13712
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002300701
MEDICARE PTAN
RI
05
—
110089787A
—
MA
05
—
PK85705
—
RI
Enumeration date
08/05/2008
Last updated
09/18/2014
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