Individual
AJAY NANAVATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 COURTHOUSE LN UNIT 1-3, CHELMSFORD, MA 01824-1728
(978) 293-0089
(617) 636-4822
Mailing address
9 KITSON PARK DR, LEXINGTON, MA 02421-8109
(603) 557-7034
(617) 636-4822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12534
NH
207R00000X
Internal Medicine Physician
Primary
220686
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110090585A
—
MA
05
—
30204715
—
NH
Enumeration date
08/04/2006
Last updated
10/16/2025
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