Individual
DR. BORIS VATEL
Active
Individual
DR. BORIS VATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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