Provider Demographics
NPI:1316123615
Name:SAINANI, NISHA I (MD)
Entity type:Individual
Prefix:DR
First Name:NISHA
Middle Name:I
Last Name:SAINANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 S RUSSELL ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-3901
Mailing Address - Country:US
Mailing Address - Phone:617-470-4433
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:BRIGHAM AND WOMEN'S HOSPITAL
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-2621
Practice Address - Country:US
Practice Address - Phone:617-732-8353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-16
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2463762085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
Provider Identifiers
StateIdentifier IDID TypeIssuer
763166OtherTUFFS HEALTHCARE
MAAA212897OtherHARVARD PILGRIM HEALTHCARE
MAJ48607OtherBLUE CROSS BLUE SHIELD
MA110088954/AMedicaid
MAJ48607OtherBLUE CROSS BLUE SHIELD