Provider Demographics
NPI:1083685127
Name:TALATI, YESHVANT (MD)
Entity Type:Individual
Prefix:
First Name:YESHVANT
Middle Name:
Last Name:TALATI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 6260
Mailing Address - Street 2:230 MAPLE ST
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01041-6260
Mailing Address - Country:US
Mailing Address - Phone:413-420-2200
Mailing Address - Fax:413-420-2260
Practice Address - Street 1:230 MAPLE ST
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-5124
Practice Address - Country:US
Practice Address - Phone:413-420-2200
Practice Address - Fax:413-420-2260
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2011-10-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA45486207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0028918OtherNEIGHBORHOOD HEALTH PLAN
MA977064OtherNETWORK HEALTH
MA25864OtherBOSTON HEALTH NET
MATAI22289OtherBLUE CROSS BLUE SHIELD
MAA56083Medicare UPIN
MA0028918OtherNEIGHBORHOOD HEALTH PLAN