Provider Demographics
NPI:1740241736
Name:CHAVES, CLAUDIA J (MD)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:J
Last Name:CHAVES
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 1:2000 WASHINGTON ST STE 567
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02462-1626
Mailing Address - Country:US
Mailing Address - Phone:617-928-1500
Mailing Address - Fax:617-630-0860
Practice Address - Street 1:2000 WASHINGTON ST STE 567
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02462-1626
Practice Address - Country:US
Practice Address - Phone:617-928-1500
Practice Address - Fax:617-630-0860
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1534872084V0102X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110058853AMedicaid
MAA22839Medicare PIN