Individual
DR. BORIS VATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2015 MAXWELL AVE, EVANSVILLE, IN 47711-4359
(812) 422-7974
(812) 422-8163
Mailing address
2015 MAXWELL AVE, EVANSVILLE, IN 47711-4359
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01056148A
IN
2084P0800X
Psychiatry Physician
152685
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3190366
—
MA
01
—
M300038094
MEDICARE PTAN
IN
Enumeration date
01/04/2006
Last updated
05/26/2011
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