| Defiant Health | |
|
99 Derby St Ste 200 Hingham MA 02043-4216 | |
| (302) 303-5433 | |
| Not Available |
| Full Name | Defiant Health |
|---|---|
| Speciality | Internal Medicine |
| Location | 99 Derby St Ste 200, Hingham, Massachusetts |
| Authorized Official Name and Position | Kyon Hood (PRESIDENT) |
| Authorized Official Contact | 3023035433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Defiant Health 68 Harrison Ave Ste 605 Boston MA 02111-1929 | Defiant Health 99 Derby St Ste 200 Hingham MA 02043-4216 Ph: (302) 303-5433 |
| NPI Number | 1861285454 |
|---|---|
| Provider Enumeration Date | 05/27/2025 |
| Last Update Date | 05/27/2025 |
| Certification Date | 05/27/2025 |
| Medicare PECOS PAC ID | 5991290561 |
|---|---|
| Medicare Enrollment ID | O20251220000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861285454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Payal P Srinivasa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417122854 PECOS PAC ID: 3274722186 Enrollment ID: I20110107000504 |
| Provider Name | Christina Shearer Palmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356636138 PECOS PAC ID: 3971827130 Enrollment ID: I20251223001970 |
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