Patalas, Eva D
Patalas, Eva D is an individual health care provider with primary practice located at 1493 Cambridge St , Cambridge MA 02139-1047. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Patalas, Eva D can be contacted via phone (617) 665-1220.Contact Information
Primary practice address
1493 Cambridge St
Cambridge MA 02139-1047
Phone: (617) 665-1220
Fax: (617) 665-1205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Pathology | 207ZF0201X | 153678 | Massachusetts |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 153678 | Massachusetts |
Profile Details
| NPI number | 1609856517 |
|---|---|
| LBN Legal business name | Patalas, Eva D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Nov 22nd, 2011 - 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 | 1609856517 | NPPES |
| Massachusetts | MEDICAID | 3189643 | |
| Massachusetts | Other | J19696 | |
| Massachusetts | Other | 153678 |
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