Healthcare Provider Details

I. General information

NPI: 1265979421
Provider Name (Legal Business Name): MEHTAP HAKTANIR ABUL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEHTAP HAKTANIR M.D.

II. Dates (important events)

Enumeration Date: 01/26/2017
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 BROOKLINE AVE
BOSTON MA
02215-5400
US

IV. Provider business mailing address

593 EDDY ST
PROVIDENCE RI
02903-4923
US

V. Phone/Fax

Practice location:
  • Phone: 617-667-7000
  • Fax:
Mailing address:
  • Phone: 401-444-8805
  • Fax: 401-444-2988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD18474
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License NumberMD18474
License Number StateRI
# 3
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number270846
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: