Individual
DR. VIMAL KRISHNA AKHOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-2902
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
206990
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
206990
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0155811
—
MA
Enumeration date
10/19/2006
Last updated
09/06/2007
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