Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 01058053A | IN |
Y | 207KA0200X | Allergist | 229012 | MA |
NPI | 1053375626 |
---|---|
Provider Name | Dr. Sachin Niranjan Baxi |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02115-5724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2006 |
Last Update Date | 13/08/2007 |