Tandon, Deepak Sham
Tandon, Deepak Sham is an sole proprietor health care provider with primary practice located at 125 Parker Hill , Boston MA 02120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Tandon, Deepak Sham can be contacted via phone (617) 731-0016.Contact Information
Primary practice address
125 Parker Hill
Boston MA 02120
Phone: (617) 731-0016
Fax: (617) 739-6866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 46565 | Massachusetts |
Profile Details
| NPI number | 1083797492 |
|---|---|
| LBN Legal business name | Tandon, Deepak Sham |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1083797492 | NPPES |
| Massachusetts | Other | 92688 | AETNA |
| Massachusetts | Other | 706450 | AETNA |
| Massachusetts | Other | 11151 | AETNA |
| Massachusetts | Other | VC6000170977 | AETNA |
| Massachusetts | Other | M14268 | AETNA |
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