Jag Bhawan (NPI# 1205827250, PAC ID# 0345223442) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1205827250 |
| PAC ID by PECOS | 0345223442 |
| Professional Enrollment ID | I20060418000274 |
| Full Name | Jag Bhawan |
| Organization Legal Name | BOSTON UNIVERSITY DERMATOLOGY INC |
| Address |
930 Commonwealth Ave Boston MA 02215-1274 |
| Phone Number | 6174146800 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1968 |
| Primary Specialty | PATHOLOGY |
| Secondary Specialties | DERMATOLOGY |
| Group Practice PAC ID | 7012803919 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220031 | BOSTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 930 Commonwealth Ave, Boston, MA 02215-1274 | 6174146800 | BOSTON UNIVERSITY DERMATOLOGY INC |
| Organization Legal Name | BOSTON UNIVERSITY DERMATOLOGY INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary L Collier | Nurse Practitioner | Boston University Dermatology Inc | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 |
| Rhoda M Alani | Dermatology | Boston University Dermatology Inc | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 |
| Steven J Ugent | Dermatology | Boston University Dermatology Inc | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 |
| Lynne J Goldberg | Dermatology | Boston University Dermatology Inc | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 |
| Lisa Yao Shen | Dermatology | Boston University Dermatology Inc | 725 Albany St, Boston, MA 02118-2526 |
| Street Address |
930 COMMONWEALTH AVE |
| City | BOSTON |
| State | MA |
| Zip | 02215-1274 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy J Bossie | Optometry | New England Eye Institute, Inc. | 930 Commonwealth Ave, Boston, MA 02215-1220 |
| Sari R Schwartz | Optometry | New England Eye Institute, Inc. | 930 Commonwealth Ave, Boston, MA 02215-1220 |
| Gayathri Srinivasan | Optometry | New England Eye Institute, Inc. | 930 Commonwealth Ave, Boston, MA 02215-1220 |
| Barry S Kran | Optometry | New England Eye Institute, Inc. | 930 Commonwealth Ave, Boston, MA 02215-1220 |
| Nicole Ross | Optometry | New England Eye Institute, Inc. | 930 Commonwealth Ave, Boston, MA 02215-1220 |
| Judith R Darrow | Optometry | New England Eye Institute, Inc. | 930 Commonwealth Ave, Boston, MA 02215-1220 |
| Linda D Pham | Optometry | New England Eye Institute, Inc. | 930 Commonwealth Ave, Boston, MA 02215-1220 |
| Galina A Rabkin | Optometry | New England Eye Institute, Inc. | 930 Commonwealth Ave, Boston, MA 02215-1220 |
| Mark W Odonoghue | Optometry | New England Eye Institute, Inc. | 930 Commonwealth Ave, Boston, MA 02215-1220 |
| Celia A Hinrichs | Optometry | New England Eye Institute, Inc. | 930 Commonwealth Ave, Boston, MA 02215-1220 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Gibson | Physical Therapy | Joint Ventures Physical Therapy, Inc. | 1079 Commonwealth Ave, Boston, MA 02215-1016 |
| David Carleton | Physical Therapy | Joint Ventures Physical Therapy, Inc. | 1079 Commonwealth Ave, Boston, MA 02215-1016 |
| Jennifer L Washkevich | Physical Therapy | Joint Ventures Physical Therapy, Inc. | 1079 Commonwealth Ave, Boston, MA 02215-1016 |
| Cole Clinton Howell | Physical Therapy | Joint Ventures Physical Therapy, Inc. | 1079 Commonwealth Ave, Boston, MA 02215-1016 |
| Mora Modisette | Physical Therapy | Joint Ventures Physical Therapy, Inc. | 1079 Commonwealth Ave, Boston, MA 02215-1016 |
| Mary A Mckinnon | Physical Therapy | Joint Ventures Physical Therapy, Inc. | 1079 Commonwealth Ave, Boston, MA 02215-1016 |
| Aileen Ledingham | Physical Therapy | Joint Ventures Physical Therapy, Inc. | 1079 Commonwealth Ave, Boston, MA 02215-1016 |
| Ishir Bhan | Nephrology | New England Nephrology Associates | 888 Commonwealth Ave, Boston, MA 02215-1205 |
| Anita Gulmiri | Optometry | New England Eye Institute, Inc. | 930 Commonwealth Ave, Boston, MA 02215-1220 |
| Sarah A Miller | Optometry | New England Eye Institute, Inc. | 930 Commonwealth Ave, Boston, MA 02215-1220 |
| Find all physicians in zip 02215 | |||
| City | BOSTON |
| Zip Code | 02215 |
| Specialty | PATHOLOGY |
| City + Specialty | BOSTON + PATHOLOGY |
Please comment or provide details below to improve the information on Jag Bhawan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.