Healthcare Provider Details

I. General information

NPI: 1295969848
Provider Name (Legal Business Name): AMIT TODANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2009
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 MAN MAR DR STE 6
PLAINVILLE MA
02762-2271
US

IV. Provider business mailing address

30 MAN MAR DR STE 6
PLAINVILLE MA
02762-2271
US

V. Phone/Fax

Practice location:
  • Phone: 774-430-2020
  • Fax: 774-430-2021
Mailing address:
  • Phone: 774-430-2020
  • Fax: 774-430-2021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number265225
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: