Provider Demographics
NPI:1003872227
Name:KOHLI, NEERAJ (MD, MBA)
Entity Type:Individual
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First Name:NEERAJ
Middle Name:
Last Name:KOHLI
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Gender:M
Credentials:MD, MBA
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Mailing Address - Street 1:70 WALNUT ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-2102
Mailing Address - Country:US
Mailing Address - Phone:617-340-6446
Mailing Address - Fax:617-674-3440
Practice Address - Street 1:70 WALNUT ST
Practice Address - Street 2:SUITE 101
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-2102
Practice Address - Country:US
Practice Address - Phone:617-340-6446
Practice Address - Fax:617-674-3440
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2012-02-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA80096207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology