Hazarika, Rajneesh S

Hazarika, Rajneesh S is an individual health care provider with primary practice located at 10 Gove St , East Boston MA 02128-1920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hazarika, Rajneesh S can be contacted via phone (617) 569-5800.

Contact Information

Primary practice address
10 Gove St East Boston MA 02128-1920
Fax: (617) 568-4780
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 230178 Massachusetts

Profile Details

NPI number 1841394707
LBN Legal business name Hazarika, Rajneesh S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Oct 21st, 2016 - about 8 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 1841394707 NPPES
Massachusetts Other 221845 UGS
Massachusetts Other J42315 UGS
Massachusetts MEDICAID 1319833 UGS

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