Monahan, Kevin M

Monahan, Kevin M is an individual health care provider with primary practice located at 732 Harrison Ave Preston, 3Rd Floor, Boston MA 02118-2309. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Monahan, Kevin M can be contacted via phone (617) 638-7490.

Contact Information

Primary practice address
732 Harrison Ave Preston, 3Rd Floor Boston MA 02118-2309
Phone: (617) 638-7490
Fax: (617) 414-8742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 74454 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 74454 Massachusetts
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 74454 Massachusetts

Profile Details

NPI number 1720065477
LBN Legal business name Monahan, Kevin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Apr 28th, 2014 - about 10 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 1720065477 NPPES
Massachusetts MEDICAID 110056702A

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