Yakavonis, Mark V.

Yakavonis, Mark V. is an sole proprietor health care provider with primary practice located at 725 Albany St, Suite 4B Shapiro Bldg, Boston MA 02118. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Yakavonis, Mark V. can be contacted via phone (617) 638-5633.

Contact Information

Primary practice address
725 Albany St, Suite 4B Shapiro Bldg Boston MA 02118
Phone: (617) 638-5633
Fax: (617) 414-5226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 60004 Connecticut
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 270022 Massachusetts
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 270022 Massachusetts

Profile Details

NPI number 1225395783
LBN Legal business name Yakavonis, Mark V.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2012
Last updated Mar 6th, 2024 - about 6 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225395783 NPPES
Massachusetts MEDICAID 110102515A
Massachusetts MEDICAID 3133057

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