SORAVIS OSATAPHAN (NPI# 1164086518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164086518 |
| Entity Type | Individual |
| Full Name | SORAVIS OSATAPHAN |
| Practice Address |
330 Mount Auburn St Cambridge MA 02138-5502 |
| Mailing Address |
1 Joslin Pl Boston MA 02215-5306 |
| Practice Telephone | 6174995639 |
| Mailing Telephone | 8577075195 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
330 MOUNT AUBURN ST |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02138-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407859762 | Susan A Abookire | Internal Medicine | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2005-05-31 |
| 1013515279 | Alaaeldin Ahmed | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5597 | 2020-10-10 |
| 1447863618 | Omar Hamzeh Al Omari | Internal Medicine | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-08-27 |
| 1043833221 | Nicholas D Gottshall | Physician Assistant | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-05-22 |
| 1881217263 | Claire C Alexanian | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5597 | 2020-05-20 |
| 1689297087 | Arun Cumpelik | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-05-20 |
| 1104448125 | Alireza Ghajar | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-05-13 |
| 1902427768 | Alexis Sholtis | Social Worker | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-05-04 |
| 1043839814 | Max Joseph Wallack | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-04-13 |
| 1821617010 | Hezha Seradji Aghdam | Student in an Organized Health Care Education/Training Program | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618610 | Khushboo Vijay Bhatia | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 | 2020-08-06 |
| 1780204156 | Ashna Grover | Student in an Organized Health Care Education/Training Program | 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 | 2020-04-25 |
| 1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
| 1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
| 1720645393 | Chinmay Tusharkumar Jani | Student in an Organized Health Care Education/Training Program | Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 | 2019-05-20 |
| 1386209831 | Alexander Ryan Walker | Internal Medicine | 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 | 2019-05-09 |
| 1659844868 | Aimee Hsieh | Social Worker | 525 Mount Auburn Street, Cambridge, MA 02138 | 2019-01-10 |
| 1043733389 | Armida Fruzzetti | Psychologist | 900 Concord Avenue, Cambridge, MA 02138 | 2017-07-19 |
| 1174984827 | Jenna Mezin Schmid | Psychologist | 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 | 2016-03-09 |
| 1316313208 | Kelly Abbott | Optometrist | 12 Eliot St., Cambridge, MA 02138 | 2015-08-14 |
| Find all providers in zip 02138 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972119600 | Michael Kristopher Jefferson | Student in an Organized Health Care Education/Training Program | 75 7th St Apt 3, Cambridge, MA 02141-1588 | 2020-09-18 |
| 1578178927 | David Harris | Student in an Organized Health Care Education/Training Program | 328 Prospect St Unit C, Cambridge, MA 02139-1315 | 2020-09-12 |
| 1467064543 | Shifali Singh | Student in an Organized Health Care Education/Training Program | 425 Massachusetts Ave Apt 305, Cambridge, MA 02139-2126 | 2020-08-19 |
| 1922618610 | Khushboo Vijay Bhatia | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 | 2020-08-06 |
| 1962020925 | Stefan Mcnamara | Student in an Organized Health Care Education/Training Program | 225 Johnson St, Cambridge, WI 53523-9492 | 2020-07-07 |
| 1194340406 | Ava Kathryn Mokhtari | Student in an Organized Health Care Education/Training Program | 83 Cambridge Pkwy Unit W506, Cambridge, MA 02142-1298 | 2020-06-11 |
| 1780204156 | Ashna Grover | Student in an Organized Health Care Education/Training Program | 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 | 2020-04-25 |
| 1265052435 | Elizabeth Karas | Student in an Organized Health Care Education/Training Program | 18 Whittier St Unit 2f, Cambridge, MA 02140-2606 | 2020-04-17 |
| 1437778156 | Claire Stauffer | Student in an Organized Health Care Education/Training Program | 15 Bigelow St Apt 2, Cambridge, MA 02139-2385 | 2020-04-13 |
| 1336768050 | Matthew Tomm | Student in an Organized Health Care Education/Training Program | 417 Cardinal Medeiros Ave Unit 4, Cambridge, MA 02141-1467 | 2020-04-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.