Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 227737 | MA |
Y | 2080P0202X | Pediatric Cardiologist | 227737 | MA |
NPI | 1184695132 |
---|---|
Provider Name | Dr. Rahul Hardas Rathod |
First Address | Brookline, MA 02446-5960 |
Second Address | Boston, MA 02115-5724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2006 |
Last Update Date | 18/06/2008 |