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NPI Code Detail

MEDICARE: DR. ANEESH BAPAT M.D.

MEDICARE: DR. ANEESH BAPAT 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
1207R00000XInternal Medicine Physician1914MD
2207RC0000XCardiovascular Disease Physician269105MA

General Provider Information

NPI Number : 1790051712
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANEESH BAPAT M.D.
Provider Business Mailing Address
First Line : 55 FRUIT STREET
Second Line : BUL 2
City : BOSTON
State : MA
Zip : 02114-2696
Country : US
Telephone Number : 617-643-7972
Fax Number :
Provider Business Practice Location Address
First Line : 55 FRUIT STREET
Second Line : BUL 2
City : BOSTON
State : MA
Zip : 02114-2696
Country : US
Telephone Number : 617-643-7972
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2012
Last Update Date : 04/24/2021

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Directions to “ DR. ANEESH BAPAT M.D.” Practice Location

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