Skip Navigation

Provider Information for 1093706988

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

TAL GEVA MD

Gender: MALE

Individual NPI: 1093706988

Calendar   Last Updated:  2020-11-10
  Certification Date:  2020-11-10

Details

Name Value
NPI 1093706988
Enumeration Date 2005-10-31
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address PO BOX 9135 ATT:SHARON SILVA
BROOKLINE, MA 02446-9135
United States

Phone: 603-890-4404 | Fax: 603-893-8886
View Map External Link
Primary Practice Address 300 LONGWOOD AVE
BOSTON, MA 02115-5724
United States

Phone: 617-355-2793 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other HARVARD PILGRIM MA AA9216
Other CIGNA MA MA B20316808
Other NETWORK HEALTH MA 99073601
Other UNITED HEALTHCARE MA MA 7500183
MEDICAID MA 3137635
Other BCBS MA MA J31193
MEDICAID RI TG13489
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 2080P0202X - Pediatrics Pediatric Cardiology MA 72954
No 208000000X - Pediatrics MA 72954