Bhawan, Jag

Bhawan, Jag is an individual health care provider with primary practice located at 725 Albany St Shapiro 8, Boston MA 02118-2526. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Bhawan, Jag can be contacted via phone (617) 638-7420.

Contact Information

Primary practice address
725 Albany St Shapiro 8 Boston MA 02118-2526
Phone: (617) 638-7420
Fax: (617) 638-7289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 41853 Massachusetts
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 41853 Massachusetts

Profile Details

NPI number 1205827250
LBN Legal business name Bhawan, Jag
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated May 20th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205827250 NPPES
Massachusetts MEDICAID 110037446A

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