| Deo Medical PC | |
|
535 Boylston St # 7 Boston MA 02116-3720 | |
| (339) 204-5454 | |
| Not Available |
| Full Name | Deo Medical PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 535 Boylston St # 7, Boston, Massachusetts |
| Authorized Official Name and Position | Rahul Chandrakant Deo (PRESIDENT) |
| Authorized Official Contact | 6172231860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deo Medical PC 535 Boylston St # 7 Boston MA 02116-3720 Ph: (617) 514-2362 | Deo Medical PC 535 Boylston St # 7 Boston MA 02116-3720 Ph: (339) 204-5454 |
| NPI Number | 1134877889 |
|---|---|
| Provider Enumeration Date | 03/11/2022 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/04/2023 |
| Medicare PECOS PAC ID | 5991186249 |
|---|---|
| Medicare Enrollment ID | O20220718001251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134877889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | () | Primary |
| Provider Name | Rahul Deo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942316807 PECOS PAC ID: 7416095849 Enrollment ID: I20091105000189 |
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