Individual
DR. SUSHRUT S WAIKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 ALBANY STREET, SHAPIRO 7, SUITE A, BOSTON, MA 02118
(617) 414-8680
(617) 414-8664
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
215423
MA
207RN0300X
Nephrology Physician
Primary
215423
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110073464A
—
MA
05
—
3100474
—
NH
Enumeration date
11/21/2005
Last updated
10/06/2023
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