Provider Demographics
NPI:1396748463
Name:KOLATKAR, NIKHEEL SHRINIVAS (MD)
Entity type:Individual
Prefix:DR
First Name:NIKHEEL
Middle Name:SHRINIVAS
Last Name:KOLATKAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:121 COMMONWEALTH AVE
Mailing Address - Street 2:APT 6
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-2336
Mailing Address - Country:US
Mailing Address - Phone:617-304-9599
Mailing Address - Fax:888-406-7390
Practice Address - Street 1:221 LONGWOOD AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5804
Practice Address - Country:US
Practice Address - Phone:617-732-7947
Practice Address - Fax:617-732-5764
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA219119207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism