Provider Demographics
NPI:1255396669
Name:HEHER, KATRINKA L (MD)
Entity type:Individual
Prefix:MRS
First Name:KATRINKA
Middle Name:L
Last Name:HEHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:11 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-3004
Mailing Address - Country:US
Mailing Address - Phone:781-235-9851
Mailing Address - Fax:
Practice Address - Street 1:750 WASHINGTON ST
Practice Address - Street 2:# 450
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1526
Practice Address - Country:US
Practice Address - Phone:617-636-7770
Practice Address - Fax:617-636-4866
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2017-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA158752174400000X, 207WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3185761Medicaid
MA3185761Medicaid
MAF90703Medicare UPIN