Provider Demographics
NPI:1346231982
Name:KACHALIA, ALLEN B (MD JD)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:B
Last Name:KACHALIA
Suffix:
Gender:M
Credentials:MD JD
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Mailing Address - Street 1:1620 TREMONT ST
Mailing Address - Street 2:HOSPITALIST OFFICE DEPARTMENT OF MEDICINE
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02120
Mailing Address - Country:US
Mailing Address - Phone:617-732-8003
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:BRIGHAM AND WOMENS HOSPITAL
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-732-8003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2007-07-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA218361207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine