Provider Demographics
NPI:1447394853
Name:OHRI, NEETA (MD)
Entity Type:Individual
Prefix:DR
First Name:NEETA
Middle Name:
Last Name:OHRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 WINTHROP ST
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-4530
Mailing Address - Country:US
Mailing Address - Phone:508-822-5401
Mailing Address - Fax:
Practice Address - Street 1:141 WINTHROP ST
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-4530
Practice Address - Country:US
Practice Address - Phone:508-822-5401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA51626208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6186602Medicaid
MAA57156Medicare UPIN
MA6186602Medicaid