Healthcare Provider Details

I. General information

NPI: 1851527584
Provider Name (Legal Business Name): RACHANA UNIYAL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

97 LIBBEY PKWY STE 203
WEYMOUTH MA
02189-3110
US

IV. Provider business mailing address

PO BOX 68
S WEYMOUTH MA
02190-0001
US

V. Phone/Fax

Practice location:
  • Phone: 781-337-5680
  • Fax: 781-337-3275
Mailing address:
  • Phone: 781-337-5680
  • Fax: 781-331-3275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number240889
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: