Individual
RAVI PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA 02114
(617) 726-3030
Mailing address
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA 02114
(617) 726-3030
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
73780
GA
207L00000X
Anesthesiology Physician
L-248525
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
73780
GA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
73780
GA
Other
Enumeration date
07/08/2011
Last updated
06/21/2022
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