Skip Navigation

Provider Information for 1972771947

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

DR. KHASHAYAR VAKILI

Gender: MALE

Individual NPI: 1972771947

Calendar   Last Updated:  2011-08-30
  Certification Date: 

Details

Name Value
NPI 1972771947
Enumeration Date 2008-02-13
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 300 LONGWOOD AVE FEGAN 3
BOSTON, MA 02115-5724
United States

Phone: 617-355-8544 | Fax:
View Map External Link
Primary Practice Address 300 LONGWOOD AVE FEGAN 3
BOSTON, MA 02115-5724
United States

Phone: 617-355-8544 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 204F00000X - Transplant Surgery MA 231851
No 208600000X - Surgery MA 231851