Provider Demographics
NPI:1235112277
Name:SAUKKONEN, KAI (MD)
Entity Type:Individual
Prefix:DR
First Name:KAI
Middle Name:
Last Name:SAUKKONEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:55 FRUIT ST
Mailing Address - Street 2:BULFINCH 148
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2621
Mailing Address - Country:US
Mailing Address - Phone:617-726-1721
Mailing Address - Fax:617-724-9948
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:BULFINCH 148
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-726-1721
Practice Address - Fax:617-724-9948
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2009-08-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA72482207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3150071Medicaid
MAF18030Medicare UPIN
MA3150071Medicaid