Lathi, Devayani C.
Lathi, Devayani C. is an individual health care provider with primary practice located at 242 Green St , Gardner MA 01440-1336. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Lathi, Devayani C. can be contacted via phone (978) 630-6256.Contact Information
Primary practice address
242 Green St
Gardner MA 01440-1336
Phone: (978) 630-6256
Fax: (978) 630-6489
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 37826 | Massachusetts |
Profile Details
NPI number | 1811984461 |
---|---|
LBN Legal business name | Lathi, Devayani C. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 29th, 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 | 1811984461 | NPPES |
Massachusetts | MEDICAID | 3200132 |
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