Provider Demographics
NPI:1982805198
Name:ROBINSON, NEHA MULCHAND (MD)
Entity Type:Individual
Prefix:DR
First Name:NEHA
Middle Name:MULCHAND
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NEHA
Other - Middle Name:MULCHAND
Other - Last Name:SHAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:226 HARVARD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-5003
Mailing Address - Country:US
Mailing Address - Phone:617-751-5500
Mailing Address - Fax:
Practice Address - Street 1:226 HARVARD ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-5003
Practice Address - Country:US
Practice Address - Phone:617-751-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA232650207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2142210Medicaid
MA496644OtherTUFTS HEALTH PLAN
MAAA98707OtherHPHC
MAJ42382OtherBCBS MA
MA2142210Medicaid
MA000254601Medicare PIN