Deshpande, Vikram
Deshpande, Vikram is an individual health care provider with primary practice located at 55 Fruit Street Wrn 2 Pathology Associates, Boston MA 02114-2696. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Deshpande, Vikram can be contacted via phone (617) 726-2967.Contact Information
Primary practice address
55 Fruit Street Wrn 2 Pathology Associates
Boston MA 02114-2696
Phone: (617) 726-2967
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 209664 | Massachusetts |
Profile Details
| NPI number | 1083605513 |
|---|---|
| LBN Legal business name | Deshpande, Vikram |
| Credentials | MBBS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083605513 | NPPES |
| Massachusetts | MEDICAID | 2069873 | |
| Massachusetts | Other | J27254 | |
| Massachusetts | Other | 468868 |
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