Provider Demographics
NPI:1841281458
Name:SOHANI, ALIYAH R (MD)
Entity type:Individual
Prefix:DR
First Name:ALIYAH
Middle Name:R
Last Name:SOHANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ALIYAH
Other - Middle Name:
Other - Last Name:RAHEMTULLAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-724-0287
Mailing Address - Fax:617-726-2894
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:WRN 219 PATHOLOGY ASSOCIATES
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:617-726-2967
Practice Address - Fax:617-726-7474
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA223647207ZP0102X, 207ZH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA468192OtherTUFTS HEALTH PLAN
MAJ28664OtherBCBS MA
MA2101963Medicaid
MAJ28664OtherBCBS MA
I32681Medicare UPIN