Mudgal, Chaitanya
Mudgal, Chaitanya is an individual health care provider with primary practice located at 55 Fruit St Yaw 2100, Boston MA 02114-2621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Mudgal, Chaitanya can be contacted via phone (617) 726-5100.Contact Information
Primary practice address
55 Fruit St Yaw 2100
Boston MA 02114-2621
Phone: (617) 726-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 153170 | Massachusetts |
Profile Details
| NPI number | 1265413926 |
|---|---|
| LBN Legal business name | Mudgal, Chaitanya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Aug 31st, 2012 - about 12 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 | 1265413926 | NPPES |
| Massachusetts | Other | J22899 | BCBS MA |
| Massachusetts | MEDICAID | 2086492 | BCBS MA |
| Massachusetts | Other | 750226 | BCBS MA |
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