Healthcare Provider Details

I. General information

NPI: 1992737423
Provider Name (Legal Business Name): UMAKANTH A KATWA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: UMAKANTH A KHATWA

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 LONGWOOD AVE, DEPARTMENT OF RESPIRATORY DISEASES BOSTON CHILDREN'S HOSPITAL
BOSTON MA
02115
US

IV. Provider business mailing address

27 INTERVALE RD
CHESTNUT HILL MA
02467-3707
US

V. Phone/Fax

Practice location:
  • Phone: 617-355-1900
  • Fax:
Mailing address:
  • Phone: 508-361-8359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number35.155100
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number228365
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code2080S0012X
TaxonomyPediatric Sleep Medicine Physician
License Number228365
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code2080S0012X
TaxonomyPediatric Sleep Medicine Physician
License Number35.155100
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: