Pashtan, Itai Max
Pashtan, Itai Max is an sole proprietor health care provider with primary practice located at 75 Francis St L2, Boston MA 02115-6110. He recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Pashtan, Itai Max can be contacted via phone (617) 732-6230.Contact Information
Primary practice address
75 Francis St L2
Boston MA 02115-6110
Phone: (617) 732-6230
Fax: (617) 582-6037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / General Acute Care Hospital | 282N00000X | ||
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 246073 | Massachusetts |
Profile Details
| NPI number | 1346402682 |
|---|---|
| LBN Legal business name | Pashtan, Itai Max |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2008 |
| Last updated | May 18th, 2012 - about 13 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 | 1346402682 | NPPES |
| Illinois | Other | 125054409 | ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION |
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