Healthcare Provider Details

I. General information

NPI: 1700800984
Provider Name (Legal Business Name): JULIE ADAMS LAHIRI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 02/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 COLCHESTER AVE UVM MEDICAL CENTER - SURGERY/VASCULAR SURGERY
BURLINGTON VT
05401-1473
US

IV. Provider business mailing address

111 COLCHESTER AVE UVM MEDICAL CENTER - SURGERY/VASCULAR SURGERY
BURLINGTON VT
05401-1473
US

V. Phone/Fax

Practice location:
  • Phone: 802-847-4548
  • Fax: 802-847-3581
Mailing address:
  • Phone: 802-847-4548
  • Fax: 802-847-3581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number042-0010999
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: