Healthcare Provider Details

I. General information

NPI: 1902874241
Provider Name (Legal Business Name): KAPIL SAXENA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2006
Last Update Date: 07/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 LONGWOOD AVE # FEGAN707 CHILDREN'S HOSPITAL BOSTON
BOSTON MA
02115-5724
US

IV. Provider business mailing address

300 LONGWOOD AVE # FEGAN707 CHILDREN'S HOSPITAL BOSTON
BOSTON MA
02115-5724
US

V. Phone/Fax

Practice location:
  • Phone: 617-355-4977
  • Fax:
Mailing address:
  • Phone: 617-355-4977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number238292
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: