- Practice location
- 210 Bear Hill RD Ste 304, Waltham, MA 02451-1025
- Phone
- 781-684-0600
- Fax
- 781-684-0601
- Last updated
- June 25, 2017
Srk MD, LLC is a healthcare organization based in Waltham, MA. Srk MD, LLC practices in Waltham, MA. The NPI Number for Srk MD, LLC is 1578083119 and holds a License No. 209939 (MA). The current practice location address for Srk MD, LLC is 210 Bear Hill RD Ste 304, Waltham, MA 02451-1025 and can be reached out via phone at 781-684-0600 and via fax at 781-684-0601.
Provider Profile Details
- NPI Number
- 1578083119
- Provider Name
- Srk MD, LLC
- Provider Entity Type
- Organization
- Address
- 210 Bear Hill RD Ste 304, Waltham, MA 02451-1025
- Phone Number
- 781-684-0600
- Fax Number
- 781-684-0601
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- Yes
- Parent Organization
- Steven R. Kanner, MD, LLC
- Authorized Official
- Dr. Steven R. Kanner, MD · Owner · 781-684-0600
- Provider Enumeration Date
- June 25, 2017
- Last Update Date
- June 25, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 210 Bear Hill RD Ste 304
Waltham, MA 02451-1025 - City
- Waltham
- State
- Massachusetts
- Zip
- 02451-1025
- Phone Number
- 781-684-0600
- Fax Number
- 781-684-0601
Provider Business Mailing Address Details
- Address
- 12 Bypass RD
Lincoln, MA 01773-1202 - City
- Lincoln
- State
- MA
- Zip
- 01773-1202
- Phone Number
- 781-259-0222
- Fax Number
- 781-259-4050
License Information
- License Number
- 209939
- License State
- MA
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Waltham, MA
View all Internal Medicine providers in Waltham →Frequently Asked Questions
What is the NPI number of Srk MD, LLC?
The NPI number of Srk MD, LLC is 1578083119. It was assigned on June 25, 2017 and is currently active in the NPPES registry.
What is the specialty of Srk MD, LLC?
Srk MD, LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 209939.
Where does Srk MD, LLC practice?
The practice location is 210 Bear Hill RD Ste 304, Waltham, MA 02451-1025. The office can be reached at 781-684-0600 (phone) or 781-684-0601 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578083119 directly on the NPPES registry website.