Individual
BALTEJ S MAINI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 SUMMER ST, WORCESTER, MA 01608
(508) 368-3190
(508) 368-3193
Mailing address
630 PLANTATION ST, WORCESTER, MA 01605
(508) 368-5529
(508) 368-5530
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
38493
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700200
EVERCARE
—
01
—
2041634
MEDICAID WELFARE
—
05
—
2041634
—
MA
01
—
26846
CHILDRENS MEDICAL SECURIT
—
01
—
7156308
AETNA US HEALTHCARE
—
01
—
7310881
CIGNA HEALTH PLAN
—
01
—
784047
MVP HEALTH CARE
—
01
—
917931
FIRST HEALTH
—
01
—
9900024
FALLON COMMUNITY HEALTH P
—
01
—
AA13526
HARVARD PILGRIM HEALTHCAR
—
01
—
C07085
BLUE SHIELD HMO BLUE
—
Enumeration date
02/27/2006
Last updated
07/08/2007
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