Basic Information
Provider Information
NPI: 1598722274
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BAKSHI
FirstName: ROHIT
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 111 CYPRESS ST
Address2: PARTNERS MULTIPLE SCLEROSIS CENTER
City: BROOKLINE
State: MA
PostalCode: 024456002
CountryCode: US
TelephoneNumber: 8573070896
FaxNumber:  
Practice Location
Address1: ONE BROOKLINE PLACE
Address2: PARTNERS MULTIPLE SCLEROSIS CENTER
City: BROOKLINE
State: MA
PostalCode: 02445
CountryCode: US
TelephoneNumber: 6177326568
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/27/2006
LastUpdateDate: 05/09/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400X220129MAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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