DR. SADRU P KABANI (NPI# 1255441804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255441804 |
| Entity Type | Individual |
| Full Name | DR. SADRU P KABANI |
| Credential | DMD MS |
| Practice Address |
100 E Newton St G-04 Bonston Univ of Dental Med, Dept of Oral & Maxillo Path Boston MA 02118-2308 |
| Practice Telephone | 6176385005 |
| Practice Fax Number | 6176384697 |
| Mailing Telephone | 6176385005 |
| Mailing Fax Number | 6176384697 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
14278 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HARVARD PILGRIM | AA1699 | 01 | |
| FALLON COMM HEALTH | 25443 | 01 | |
| AETNA | 3068028 | 01 | |
| MA | 0806005 | 05 | |
| UNITED HEALTH | 8000239 | 01 | |
| TUFTS HEALTH PLAN | 711511 | 01 |
| Street Address |
100 E NEWTON ST G-04 BONSTON UNIV OF DENTAL MED, DEPT OF ORAL & MAXILLO PATH |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275708455 | Devaki Sundararajan | Dentist | 100 E Newton St # G04, Oral Pathology Department, Boston, MA 02118-2308 | 2008-04-28 |
| 1295819217 | Mark A Lerman | Dentist | 1 Kneeland St Rm 646, Boston, MA 02111-1527 | 2006-10-25 |
| 1942291489 | George Thomas Gallagher | Dentist | 100 E Newton St, G 04, Boston, MA 02118-2651 | 2005-11-03 |
| 1588176234 | Ibrahim Saleh Akeel | Dentist | 75 Francis St, Boston, MA 02115-6110 | 2017-11-02 |
| 1578075248 | Lama Alabdulaaly | Dentist | 45 Francis St, Boston, MA 02115-6105 | 2017-11-02 |
| 1407386766 | Hani Massoud Hanna | Dentist | 1 Kneeland St, Boston, MA 02111-1527 | 2017-06-19 |
| 1508303660 | Asma Almazyad | Dentist | 75 Francis St, Brigham and Women's Hospital, Boston, MA 02115-6110 | 2017-01-27 |
| 1548662224 | Reshma Menon | Dentist | 188 Longwood Ave, Hsdm, Boston, MA 02115-9998 | 2014-09-24 |
| 1174946990 | Maher Alnammary | Dentist | 75 Francis St, Brigham and Women's Hospital - Div. Oral Medicine, Boston, MA 02115-6110 | 2014-01-30 |
| 1356773642 | Ali Anwar Aboalela | Dentist | 75 Francis Street, Brigham and Womens Hospital, Boston, MA 02115 | 2013-08-08 |
| Find all providers in BOSTON | ||||
Please comment or provide details below to improve the information on DR. SADRU P KABANI.
| 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.