Basic Information
Provider Information
NPI: 1750935342
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAMIRANI
FirstName: CHAHAT
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
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OtherCredential:  
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Mailing Information
Address1: 5 GROVE ST APT 6
Address2:  
City: BOSTON
State: MA
PostalCode: 021143454
CountryCode: US
TelephoneNumber: 2816838054
FaxNumber:  
Practice Location
Address1: 243 CHARLES ST
Address2:  
City: BOSTON
State: MA
PostalCode: 021143002
CountryCode: US
TelephoneNumber: 6175237900
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/31/2019
LastUpdateDate: 07/31/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTitleorPosition:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000X  Y Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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