Phadke, Jayant Gopal
Phadke, Jayant Gopal is an individual health care provider with primary practice located at 123 Summer St Ste 695, Worcester MA 01608-1216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Phadke, Jayant Gopal can be contacted via phone (508) 363-5630.Contact Information
Primary practice address
123 Summer St Ste 695
Worcester MA 01608-1216
Phone: (508) 363-5630
Fax: (508) 363-5630
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 078071 | Massachusetts |
Profile Details
| NPI number | 1467436055 |
|---|---|
| LBN Legal business name | Phadke, Jayant Gopal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | May 14th, 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 | 1467436055 | NPPES |
| Massachusetts | MEDICAID | 3111083 |
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