MEDICARE: KABIR CHUTTANI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	70440	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	300041	OTHER	MA	HPHC
2	0538177	OTHER	MA	AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	J12874	OTHER	MA	BCBS
5	000000026423	OTHER	MA	BMC HEALTHNET
6	070440	OTHER	MA	TUFTS

General Provider Information

NPI Number	:	1043234321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KABIR CHUTTANI M.D.

Provider Business Mailing Address
First Line	:	8 NAMELOC RD
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-1418
Country	:	US
Telephone Number	:	617-906-5316
Fax Number	:	508-880-0077

Provider Business Practice Location Address
First Line	:	72 WASHINGTON ST
Second Line	:	SUITE 1400-1700
City	:	TAUNTON
State	:	MA
Zip	:	02780-2491
Country	:	US
Telephone Number	:	508-880-0077
Fax Number	:	508-880-5247

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	07/08/2007

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