Provider Demographics
NPI:1164438925
Name:SAWANT, RAHUL J (MD)
Entity Type:Individual
Prefix:
First Name:RAHUL
Middle Name:J
Last Name:SAWANT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 POND ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-2725
Mailing Address - Country:US
Mailing Address - Phone:508-528-3814
Mailing Address - Fax:508-528-3855
Practice Address - Street 1:770 POND ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-2725
Practice Address - Country:US
Practice Address - Phone:508-528-3814
Practice Address - Fax:508-528-3855
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA220578207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA38125Medicare ID - Type Unspecified
MAH26313Medicare UPIN