Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 263050 | MA |
N | 111NI0900X | Internist | 263050 | MA |
Y | 207RI0200X | Infectious Disease | 263050 | MA |
NPI | 1023335528 |
---|---|
Provider Name | Dr. Sanjat Kanjilal |
First Address | Boston, MA 02115-6110 |
Second Address | Boston, MA 02115-6110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2010 |
Last Update Date | 18/10/2018 |